August 1, 2007EuroIntervention
Contemporary treatment of patients with chronic total occlusion: critical appraisal of different state-of-the-art techniques and devices
Key result
Contemporary treatment of chronic total occlusions using state-of-the-art guidewires and devices achieved an overall procedural success rate of 60.6% in a prospective registry of 160 patients.
Population
160 consecutive patients undergoing chronic total occlusion treatment, mean age 61.5+/-11.1 years, 83.6%…
Design
Cohort
Authors
Discussion
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Implication
Supports feasibility of contemporary CTO PCI; leaves open questions on optimal selection and long-term outcomes pending randomized trials.
Study Design
Type
Observational (n=160)
Multicenter
No
Structured PICO
P
Population
160 consecutive patients (mean age 61.5 years, 83.6% male) undergoing contemporary treatment for chronic total occlusion at a single center.
E
Exposure
Contemporary CTO treatment using various state-of-the-art dedicated guidewires and devices (e.g., CROSSER, Laser catheter, SafeCross System) and techniques (over-the-wire balloon, parallel wire, see-saw, retrograde recanalisation).
O
Outcome
Overall procedural success rate of CTO recanalizationsurrogate
Contemporary CTO treatment requires multiple guidewires, sophisticated devices, and specific techniques, achieving an overall success rate of 60.6% in a real-world registry.
Cite This Study
García‐García et al. (2007) conducted an observational in Chronic total occlusion (CTO) (n=160). Contemporary CTO treatment techniques and devices was evaluated on Overall success rate. Contemporary treatment of chronic total occlusions using state-of-the-art guidewires and devices achieved an overall procedural success rate of 60.6% in a prospective registry of 160 patients.