Application of penetration device (Tornus) for percutaneous coronary intervention in balloon uncrossable chronic total occlusion-procedure outcomes, complications, and predictors of device success

Objective: To evaluate procedure outcomes, complications, and the predictors of device success while using the Tornus in CTO revascularization. Background: The success of percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) may be limited by the presence of severe calcified CTO...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2011-09, Vol.78 (3), p.356-362
Main Authors: Fang, Hsiu-Yu, Lee, Chien-Ho, Fang, Chih-Yuan, Lin, Cheng-Jui, Wu, Cheng-Ching, Yang, Cheng-Hsu, Chen, Chien-Jen, Hsieh, Yuan-Kai, Yip, Hon-Kan, Wu, Chiung-Jen
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - instrumentation
Angioplasty, Balloon, Coronary - mortality
Catheters
Chi-Square Distribution
China
Chronic Disease
chronic total occlusion
Coronary Angiography
Coronary Occlusion - diagnostic imaging
Coronary Occlusion - mortality
Coronary Occlusion - therapy
Equipment Design
Female
Humans
Logistic Models
Male
Middle Aged
Odds Ratio
Patient Selection
percutaneous coronary intervention
Predictive Value of Tests
Retrospective Studies
Risk Assessment
Risk Factors
severe calcified coronary artery
Severity of Illness Index
Stents
Time Factors
Tornus catheter
Treatment Outcome
Vascular Calcification - diagnostic imaging
Vascular Calcification - mortality
Vascular Calcification - therapy
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Summary:Objective: To evaluate procedure outcomes, complications, and the predictors of device success while using the Tornus in CTO revascularization. Background: The success of percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) may be limited by the presence of severe calcified CTO lesions, especially in the smallest balloon uncrossable arteries. A penetrating device (Tornus) could improve the success rate. Methods: Device and angiographic success rates as well as procedural complications were assessed in 56 patients, who were consecutively and retrospectively enrolled into this study. Device success was defined as successful passage of the Tornus catheter through a CTO lesion. Procedure success was defined by a final TIMI 3 flow and
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.22862