ASSESSMENT OF LONG-TERM OUTCOMES OF PATIENTS UNDERGOING PERCUTANEOUS CORONARY INTERVENTION (PCI) FOR CHRONIC TOTAL OCCLUSIONS

K ASLAM; E IQBAL; MS KHAN; FR KHAN; W SAJJAD

doi:10.54112/bcsrj.v2024i1.729

Authors

K ASLAM Department of Cardiology, Lady Reading Hospital, MTI Peshawar, Pakistan
E IQBAL Department of Dermatology, Lady Reading Hospital, MTI Peshawar, Pakistan
MS KHAN RHC Marghuz District Swabi, Pakistan
FR KHAN Department of Cardiology, Lady Reading Hospital, MTI Peshawar, Pakistan
W SAJJAD Department of Cardiology, Lady Reading Hospital, MTI Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.729

Keywords:

Percutaneous Coronary Intervention, Revascularization, Chronic Total Occlusion

Abstract

A minimal surgical procedure called ‘PCI’ (percutaneous coronary intervention) is performed to treat those who have diseases of the coronary arteries. A period of more than three months of entire blockage of a coronary artery results in a ‘CTO’ (chronic total occlusions). The primary goal of the research is to determine the performance of patients who have ‘PCI’ (percutaneous coronary intervention) for chronic total occlusions (CTO). The study was conducted at Lady Reading Hospital MTI from March 2022 to December 2022. The research included 400 individuals with ‘percutaneous coronary intervention’ for ‘CTO.’ Information was gathered via follow-up appointments and records from patients. All-caused death was the study's primary objective; major adverse cardiac events (MACE), repeated revascularization’, and standard of life were its additional objectives. Survival analysis and descriptive statistical methods were used to analyze the data. This research looked at the long-term results of individuals who had ‘percutaneous coronary intervention ‘for ‘A CTO’ and revealed that 400 individuals had at least one ‘percutaneous coronary intervention ‘for a ‘CTO.’ The individual's average age was 58.9 ± 6.07 years, and 70.3% of them were men. This research concludes that with a total success rate of 87.5%, ‘percutaneous coronary intervention ‘for chronic complete occlusions may result in favorable long-lasting results.

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References

Azzalini, L., Ojeda, S., Karatasakis, A., Maeremans, J., Tanabe, M., La Manna, A., Dautov, R., Ybarra, L. F., Benincasa, S., and Bellini, B. (2018). Long-term outcomes of percutaneous coronary intervention for chronic total occlusion in patients who have undergone coronary artery bypass grafting vs those who have not. Canadian Journal of Cardiology 34, 310-318.

Brilakis, E. S., Grantham, J. A., Rinfret, S., Wyman, R. M., Burke, M. N., Karmpaliotis, D., Lembo, N., Pershad, A., Kandzari, D. E., and Buller, C. E. (2012). A percutaneous treatment algorithm for crossing coronary chronic total occlusions. JACC: Cardiovascular Interventions 5, 367-379.

Dautov, R., Manh Nguyen, C., Altisent, O., Gibrat, C., and Rinfret, S. (2016). Recanalization of chronic total occlusions in patients with previous coronary bypass surgery and consideration of retrograde access via saphenous vein grafts. Circulation: Cardiovascular Interventions 9, e003515.

Ferrante, G., Condello, F., Rao, S. V., Maurina, M., Jolly, S., Stefanini, G. G., Reimers, B., Condorelli, G., Lefèvre, T., and Pancholy, S. B. (2022). Distal vs conventional radial access for coronary angiography and/or intervention: a meta-analysis of randomized trials. Cardiovascular Interventions 15, 2297-2311.

Jang, W. J., Yang, J. H., Choi, S.-H., Song, Y. B., Hahn, J.-Y., Choi, J.-H., Kim, W. S., Lee, Y. T., and Gwon, H.-C. (2015). Long-term survival benefit of revascularization compared with medical therapy in patients with coronary chronic total occlusion and well-developed collateral circulation. JACC: Cardiovascular Interventions 8, 271-279.

Jolly, S. S., Cairns, J. A., Yusuf, S., Meeks, B., Pogue, J., Rokoss, M. J., Kedev, S., Thabane, L., Stankovic, G., and Moreno, R. (2015). Randomized trial of primary PCI with or without routine manual thrombectomy. New England Journal of Medicine 372, 1389-1398.

Kim, B.-K., Shin, D.-H., Hong, M.-K., Park, H. S., Rha, S.-W., Mintz, G. S., Kim, J.-S., Kim, J. S., Lee, S.-J., and Kim, H.-Y. (2015). Clinical impact of intravascular ultrasound–guided chronic total occlusion intervention with zotarolimus-eluting versus biolimus-eluting stent implantation: Randomized study. Circulation: Cardiovascular Interventions 8, e002592.

Li, W., Wu, Z., Liu, T., Wu, X., and Liu, J. (2023). Long term clinical outcome after success re-attempt percutaneous coronary intervention of chronic total occlusion. BMC Cardiovascular Disorders 23, 23.

Mehran, R., Claessen, B. E., Godino, C., Dangas, G. D., Obunai, K., Kanwal, S., Carlino, M., Henriques, J. P., Di Mario, C., and Kim, Y.-H. (2011). Long-term outcome of percutaneous coronary intervention for chronic total occlusions. JACC: Cardiovascular Interventions 4, 952-961.

Michael, T. T., Karmpaliotis, D., Brilakis, E. S., Abdullah, S. M., Kirkland, B. L., Mishoe, K. L., Lembo, N., Kalynych, A., Carlson, H., and Banerjee, S. (2013). Impact of prior coronary artery bypass graft surgery on chronic total occlusion revascularisation: insights from a multicentre US registry. Heart 99, 1515-1518.

Okuya, Y., Saito, Y., Takahashi, T., Kishi, K., and Hiasa, Y. (2019). Novel predictors of late lumen enlargement in distal reference segments after successful recanalization of coronary chronic total occlusion. Catheterization and Cardiovascular Interventions 94, 546-552.

Rinfret, S., Joyal, D., Nguyen, C. M., Bagur, R., Hui, W., Leung, R., Larose, E., Love, M. P., and Mansour, S. (2011). Retrograde recanalization of chronic total occlusions from the transradial approach; early Canadian experience. Catheterization and Cardiovascular Interventions 78, 366-374.

Sianos, G., Werner, G. S., Galassi, A. R., Papafaklis, M. I., Escaned, J., Hildick-Smith, D., Christiansen, E. H., Gershlick, A., Carlino, M., and Karlas, A. (2012). Recanalisation of chronic total coronary occlusions: 2012 consensus document from the EuroCTO club. EuroIntervention 8, 139-145.

Valenti, R., Migliorini, A., Signorini, U., Vergara, R., Parodi, G., Carrabba, N., Cerisano, G., and Antoniucci, D. (2008). Impact of complete revascularization with percutaneous coronary intervention on survival in patients with at least one chronic total occlusion. European heart journal 29, 2336-2342.