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DC Field | Value | Language |
---|---|---|
dc.contributor.author | Malaiapan Y. | en |
dc.contributor.author | BoganaShanmugam V. | en |
dc.contributor.author | Psaltis P.J. | en |
dc.contributor.author | Wong D.T. | en |
dc.contributor.author | Seneviratne S. | en |
dc.contributor.author | Cameron J. | en |
dc.contributor.author | Meredith I.T. | en |
dc.date.accessioned | 2021-05-14T13:50:36Z | en |
dc.date.available | 2021-05-14T13:50:36Z | en |
dc.date.copyright | 2016 | en |
dc.date.created | 20160225 | en |
dc.date.issued | 2016-11-03 | en |
dc.identifier.citation | Heart Lung and Circulation. 25 (7) (pp 676-682), 2016. Date of Publication: 01 Jul 2016. | en |
dc.identifier.issn | 1443-9506 | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/40471 | en |
dc.description.abstract | Background Chronic total occlusions (CTOs) represent a unique set of lesions for percutaneous coronary intervention (PCI) because of the complexity of techniques required to treat them. Methods We retrospectively reviewed the CTO-PCI experience between January 2010 and December 2012, in a multi-operator single centre, which is one of the largest volume PCI centres in Australia. Results Eighty-two patients (62.6+/-11.3 years, 85% males) who had CTO-PCIs were included. The most common site of CTO was the right coronary artery (44%), followed by the left circumflex (30%) and left anterior descending (26%) arteries. Using the Japanese CTO scoring system, 34% of lesions were classified as easy, 37% intermediate, 23% difficult and 6% very difficult. All PCIs were performed by antegrade approach. Selected procedural characteristics included: re-attempt procedure 10%; multiple access sites 21%; more than one guidewire 77%; additional support modality 60%; drug-eluting stents 97%; stent number 1.6+/-0.8; total stent length 40.1+/-24.5 mm; fluoroscopy time 33+/-17 min; contrast volume 257.2+/-110.8 mL. Overall CTO success rate was 60%. In-hospital adverse outcomes included 1.2% mortality, 9.8% peri-procedural myocardial infarction, 4.9% emergency bypass surgery, 3% cardiac tamponade and 4.9% contrast induced nephropathy. Conclusion We report modest success rates in a single Australian centre experience in a relatively conservative cohort of CTO-PCI prior to the initiation of a dedicated CTO revascularisation program.Copyright © 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ) | en |
dc.language | English | en |
dc.language | en | en |
dc.publisher | Elsevier Ltd | en |
dc.relation.ispartof | Heart Lung and Circulation | en |
dc.subject | heart tamponade/co [Complication] | en |
dc.subject | hematoma/co [Complication] | en |
dc.subject | adult | en |
dc.subject | hospital mortality | en |
dc.subject | human | en |
dc.subject | left anterior descending coronary artery | en |
dc.subject | major clinical study | en |
dc.subject | male | en |
dc.subject | fluoroscopy | en |
dc.subject | postoperative hemorrhage/co [Complication] | en |
dc.subject | priority journal | en |
dc.subject | retrospective study | en |
dc.subject | right coronary artery | en |
dc.subject | stent thrombosis/co [Complication] | en |
dc.subject | surgical approach | en |
dc.subject | vascular guide wire | en |
dc.subject | *percutaneous coronary intervention | en |
dc.subject | heart infarction/co [Complication] | en |
dc.subject | cerebrovascular accident/co [Complication] | en |
dc.subject | cohort analysis | en |
dc.subject | contrast induced nephropathy/si [Side Effect] | en |
dc.subject | controlled study | en |
dc.subject | coronary artery circumflex branch | en |
dc.subject | *coronary artery occlusion/th [Therapy] | en |
dc.subject | coronary artery perforation/co [Complication] | en |
dc.subject | drug eluting stent | en |
dc.subject | female | en |
dc.subject | contrast medium/ae [Adverse Drug Reaction] | en |
dc.subject | drug eluting stent/am [Adverse Device Effect] | en |
dc.subject | Antegrade approach | en |
dc.subject | *chronic total occlusion/th [Therapy] | en |
dc.subject | article | en |
dc.subject | Australia | en |
dc.title | Chronic Total Occlusion - Percutaneous Coronary Intervention (CTO-PCI) Experience in a Single, Multi-operator Australian Centre: Need for dedicated CTO-PCI programs. | en |
dc.type | Article | en |
dc.type.studyortrial | Observational study (cohort, case-control, cross sectional or survey) | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/j.hlc.2015.12.101 | en |
dc.publisher.place | United Kingdom | en |
dc.identifier.pubmedid | 26906284 [http://www.ncbi.nlm.nih.gov/pubmed/?term=26906284] | en |
dc.identifier.source | 608510095 | en |
dc.identifier.institution | (BoganaShanmugam, Psaltis, Wong, Seneviratne, Cameron, Meredith, Malaiapan) Monash Cardiovascular Research Centre, MonashHeart and Department of Medicine, Monash Health and Monash University, Melbourne, Vic, Australia (Psaltis) School of Medicine, University of Adelaide and Vascular Research Centre, Heart Health Theme, South Australian Health and Medical Research Institute, Adelaide, SA, Australia | en |
dc.description.address | V. BoganaShanmugam, Australia. E-mail: vimalcardio@yahoo.com | en |
dc.subject.keyword | hematoma / complication | en |
dc.subject.keyword | adult | en |
dc.subject.keyword | Article | en |
dc.subject.keyword | Australia | en |
dc.subject.keyword | cerebrovascular accident / complication | en |
dc.subject.keyword | cohort analysis | en |
dc.subject.keyword | contrast induced nephropathy / side effect | en |
dc.subject.keyword | controlled study | en |
dc.subject.keyword | coronary artery circumflex branch | en |
dc.subject.keyword | *coronary artery occlusion / *therapy | en |
dc.subject.keyword | coronary artery perforation / complication | en |
dc.subject.keyword | drug eluting stent | en |
dc.subject.keyword | female | en |
dc.subject.keyword | fluoroscopy | en |
dc.subject.keyword | heart infarction / complication | en |
dc.subject.keyword | heart tamponade / complication | en |
dc.subject.keyword | hospital mortality | en |
dc.subject.keyword | human | en |
dc.subject.keyword | left anterior descending coronary artery | en |
dc.subject.keyword | major clinical study | en |
dc.subject.keyword | male | en |
dc.subject.keyword | *percutaneous coronary intervention | en |
dc.subject.keyword | postoperative hemorrhage / complication | en |
dc.subject.keyword | priority journal | en |
dc.subject.keyword | retrospective study | en |
dc.subject.keyword | right coronary artery | en |
dc.subject.keyword | stent thrombosis / complication | en |
dc.subject.keyword | surgical approach | en |
dc.subject.keyword | vascular guide wire | en |
dc.relation.libraryurl | LibKey Link | en |
dc.description.publicationstatus | Embase | en |
dc.rights.statement | Copyright 2016 Elsevier B.V., All rights reserved. | en |
dc.subect.keywords | Chronic total occlusion Complex coronary intervention CTO program CTO-PCI Percutaneous coronary intervention | en |
dc.identifier.authoremail | BoganaShanmugam V.; vimalcardio@yahoo.com | en |
dc.identifier.affiliationext | (Psaltis) School of Medicine, University of Adelaide and Vascular Research Centre, Heart Health Theme, South Australian Health and Medical Research Institute, Adelaide, SA, Australia | - |
dc.identifier.affiliationmh | (BoganaShanmugam, Psaltis, Wong, Seneviratne, Cameron, Meredith, Malaiapan) Monash Cardiovascular Research Centre, MonashHeart and Department of Medicine, Monash Health and Monash University, Melbourne, Vic, Australia | - |
item.openairetype | Article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
crisitem.author.dept | Cardiology (MonashHeart & Victorian Heart Institute) | - |
crisitem.author.dept | Cardiology (MonashHeart & Victorian Heart Institute) | - |
crisitem.author.dept | Cardiology (MonashHeart & Victorian Heart Institute) | - |
Appears in Collections: | Articles |
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