Produção Nacional
Revisado por pares
Chronic total occlusion percutaneous coronary intervention in Latin America
2020; Wiley; Volume: 96; Issue: 5 Linguagem: Inglês
10.1002/ccd.28744
ISSN1522-726X
AutoresAlexandre Schaan de Quadros, Karlyse Claudino Belli, João Eduardo Tinoco de Paula, Carlos M. Campos, Antonio C. B. da Silva, Ricardo Santiago, Marcelo Harada Ribeiro, Pedro Piccaro de Oliveira, Pablo Lamelas, Aníbal P. Abelin, Cristiano Guedes Bezerra, Evandro Martins Filho, Felipe Costa Fuchs, Félix Damas de los Santos, Pedro Beraldo de Andrade, Franklin Leonardo Hanna Quesada, Mario Araya, Luís A. Pérez-Romasanta, Leandro Assumpção Côrtes, Cleverson Zukowski, Marco Alcantara, Antônio José Muniz, Gustavo Cervino Martinelli, Marcelo José de Carvalho Cantarelli, Fábio Sândoli de Brito, Sandra Baradel, Breno de Alencar Araripe Falcão, José Armando Mangione, César Rocha Medeiros, Ramiro Caldas Degrazia, José Andrés Navarro Lecaro, Silvio Gioppato, Luiz F. Ybarra, Daniel Weilenmann, Carlos Antônio Mascia Gottschall, Viviana Lemke, Lucio Padilla,
Tópico(s)Cardiac, Anesthesia and Surgical Outcomes
ResumoAbstract Objectives To report clinical, angiographic characteristics, outcomes, and predictors of unsuccessful procedures in patients who underwent chronic total occlusion (CTO) percutaneous coronary interventions (PCI) in Latin America. Background CTO PCI has been increasingly performed worldwide, but there is a lack of information in this region. Methods An international multicenter registry was developed to collect data on CTO PCI performed in centers in Latin America. Patient, angiographic, procedural and outcome data were evaluated. Predictors of unsuccessful procedures were assessed by multivariable analysis. Results We have included data related to 1,040 CTO PCIs performed in seven countries in Latin America (Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, and Puerto Rico). The mean age was 64 ± 10 years, and CTO PCI was performed mainly for angina control (81%) or treatment of a large ischemic area (30%). Overall technical success rate was 82.5%, and it was achieved with antegrade wire escalation in 81%, antegrade dissection/re‐entry in 8% and with retrograde techniques in 11% of the successful procedures. Multivariable analysis identified moderate/severe calcification, a blunt proximal cap and a previous attempt as independent predictors of unsuccessful procedures. In‐hospital major adverse cardiovascular events (MACE) occurred in 3.1% of the cases, death in 1% and cardiac tamponade in 0.9% Conclusions CTO PCI in Latin America has been performed mainly for ischemia relief. Procedures were associated with a success rate above 80% and low incidence of MACE. Predictors of unsuccessful procedures were similar to those previously reported in the literature.
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