Use of Intravascular Imaging During Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry

Background Intravascular imaging can facilitate chronic total occlusion (CTO) percutaneous coronary intervention. Methods and Results We examined the frequency of use and outcomes of intravascular imaging among 619 CTO percutaneous coronary interventions performed between 2012 and 2015 at 7 US cente...

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Bibliographic Details
Published in:Journal of the American Heart Association 2016-08, Vol.5 (8), p.n/a
Main Authors: Karacsonyi, Judit, Alaswad, Khaldoon, Jaffer, Farouc A., Yeh, Robert W., Patel, Mitul, Bahadorani, John, Karatasakis, Aris, Danek, Barbara A., Doing, Anthony, Grantham, J. Aaron, Karmpaliotis, Dimitri, Moses, Jeffrey W., Kirtane, Ajay, Parikh, Manish, Ali, Ziad, Lombardi, William L., Kandzari, David E., Lembo, Nicholas, Garcia, Santiago, Wyman, Michael R., Alame, Aya, Nguyen‐Trong, Phuong‐Khanh J., Resendes, Erica, Kalsaria, Pratik, Rangan, Bavana V., Ungi, Imre, Thompson, Craig A., Banerjee, Subhash, Brilakis, Emmanouil S.
Format: Article
Language:English
Subjects:
Aged
Chronic Disease
chronic total occlusion
Coronary Angiography - methods
Coronary Occlusion - diagnostic imaging
Coronary Occlusion - surgery
Female
Humans
intravascular ultrasound
Male
Multimodal Imaging - methods
optical coherence tomography
Original Research
percutaneous coronary intervention
Percutaneous Coronary Intervention - methods
Registries
Tomography, Optical Coherence - methods
Ultrasonography, Interventional - methods
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Summary:Background Intravascular imaging can facilitate chronic total occlusion (CTO) percutaneous coronary intervention. Methods and Results We examined the frequency of use and outcomes of intravascular imaging among 619 CTO percutaneous coronary interventions performed between 2012 and 2015 at 7 US centers. Mean age was 65.4±10 years and 85% of the patients were men. Intravascular imaging was used in 38%: intravascular ultrasound in 36%, optical coherence tomography in 3%, and both in 1.45%. Intravascular imaging was used for stent sizing (26.3%), stent optimization (38.0%), and CTO crossing (35.7%, antegrade in 27.9%, and retrograde in 7.8%). Intravascular imaging to facilitate crossing was used more frequently in lesions with proximal cap ambiguity (49% versus 26%, P
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.116.003890