OUTCOMES OF PATIENTS UNDERGOING PERCUTANEOUS CORONARY INTERVENTION WITH CHRONIC TOTAL OCCLUSIONS

I UDDIN; Dr SHIREEN; S GHAFFAR; Z MALIK; MO HASHMI; W JAMIL

doi:10.54112/bcsrj.v2023i1.283

Authors

I UDDIN Department of Cardiology, Hayatabad Medical Complex, Peshawar, Pakistan
Dr SHIREEN Department of Cardiology, Liaquat University Hospital Pakistan
S GHAFFAR Department of Cardiology, Armed Forces Institute of Cardiology (AFIC), Pakistan
Z MALIK Department of Cardiology, University of Lahore, Pakistan
MO HASHMI Department of Cardiology, PIMS Islamabad, Pakistan
W JAMIL Department of Cardiology, Chaudry Pervaiz Elahi Institute of Cardiology, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.283

Keywords:

CTO, PCI, Risk Factors, TVR

Abstract

This study aimed to assess the efficacy of percutaneous coronary intervention (PCI) with chronic total occlusions (CTO) in a cardiology department in Peshawar, Pakistan, between January 2021 and December 2022. The study included 190 to 200 patients, most of whom had a history of hypertension and diabetes and were predominantly male. The successful CTO-PCI group had significantly lower major adverse cardiac events (MACE) and target vessel revascularization (TVR) rates than the failed CTO-PCI group. Younger age, male gender, absence of previous myocardial infarction, and lower J-CTO score were significant risk factors for CTO PCI success. Long-term outcomes indicated that CTO PCI was linked to lower rates of MACE, TVR, and repeat revascularization compared to non-CTO PCI. These results indicate that CTO-PCI can be a safe and efficient treatment option for patients with chronic total occlusions. Identification of significant risk factors can aid in selecting patients who are likely to benefit from this procedure. Further research is required to confirm these findings and examine the long-term outcomes of CTO-PCI in larger patient cohorts.

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