Use of vibrational angioplasty for the treatment of chronic total coronary occlusions: Preliminary results
1999; Wiley; Volume: 46; Issue: 1 Linguagem: Inglês
10.1002/(sici)1522-726x(199901)46
ISSN1522-726X
AutoresLampros K. Michalis, Michael R. Rees, John A. Davis, Eugenia Pappa, Katerina Κ. Naka, Stelios Rokkas, Nickos Agrios, S. Loukas, John Goudevenos, D. Sideris,
Tópico(s)Coronary Interventions and Diagnostics
ResumoCatheterization and Cardiovascular InterventionsVolume 46, Issue 1 p. 98-104 Preliminary Report Use of vibrational angioplasty for the treatment of chronic total coronary occlusions: Preliminary results Lampros K. Michalis MD, Lampros K. Michalis MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorMichael R. Rees MD, Corresponding Author Michael R. Rees MD [email protected] University Department of Clinical Radiology, Bristol Royal Infirmary, Bristol, EnglandUniversity of Bristol, Level 1, Bristol Royal Infirmary, Marlborough Street, Bristol BS2 8HW, England.Search for more papers by this authorJohn A.S. Davis, John A.S. Davis Department of Cardiology, North Staffordshire Hospital Trust, Stoke on Trent, EnglandSearch for more papers by this authorEugenia C. Pappa MD, Eugenia C. Pappa MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorKaterina K. Naka MD, Katerina K. Naka MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorStelios Rokkas MD, Stelios Rokkas MD Department of Clinical Therapeutics, Alexandra Hospital, Athens, GreeceSearch for more papers by this authorNickos Agrios MD, Nickos Agrios MD Department of Clinical Therapeutics, Alexandra Hospital, Athens, GreeceSearch for more papers by this authorSotirios Loukas PhD, Sotirios Loukas PhD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorJohn Goudevenos MD, John Goudevenos MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorDemetrios Sideris MD, Demetrios Sideris MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this author Lampros K. Michalis MD, Lampros K. Michalis MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorMichael R. Rees MD, Corresponding Author Michael R. Rees MD [email protected] University Department of Clinical Radiology, Bristol Royal Infirmary, Bristol, EnglandUniversity of Bristol, Level 1, Bristol Royal Infirmary, Marlborough Street, Bristol BS2 8HW, England.Search for more papers by this authorJohn A.S. Davis, John A.S. Davis Department of Cardiology, North Staffordshire Hospital Trust, Stoke on Trent, EnglandSearch for more papers by this authorEugenia C. Pappa MD, Eugenia C. Pappa MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorKaterina K. Naka MD, Katerina K. Naka MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorStelios Rokkas MD, Stelios Rokkas MD Department of Clinical Therapeutics, Alexandra Hospital, Athens, GreeceSearch for more papers by this authorNickos Agrios MD, Nickos Agrios MD Department of Clinical Therapeutics, Alexandra Hospital, Athens, GreeceSearch for more papers by this authorSotirios Loukas PhD, Sotirios Loukas PhD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorJohn Goudevenos MD, John Goudevenos MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this authorDemetrios Sideris MD, Demetrios Sideris MD Department of Cardiology, University Hospital of Ioannina, Ioannina, GreeceSearch for more papers by this author First published: 15 January 1999 https://doi.org/10.1002/(SICI)1522-726X(199901)46:1 3.0.CO;2-2Citations: 16AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract The aim of the study was to investigate the feasibility and clinical safety of vibrational angioplasty in the treatment of chronic total coronary occlusions and evaluate the clinical and angiographic factors that are predictive of the procedural success and complications of the procedure. Seventy-eight patients with chronic total occlusions (>3 months) resistant to conventional techniques were treated by vibrational angioplasty using a variety of conventional guidewires. Lesions were successfully crossed in 67 (85.9%) cases and antegrade flow was achieved in 59 (75.5%). Major complications (myocardial infarction and tamponade) occurred in two (2.5%) patients, but no fatalities ensued. Angiographically detectable dissections were seen in 23 (29.5%) patients but only resulted in vessel compromise and reclosure in 5 cases. Multiple stepwise logistic regression analysis identified the duration (<6 months, P = 0.008) and the length of the occlusion (<15 mm, P = 0.03) as independent predictors of final success and the age of the patient (<55 years, P = 0.006) as the only independent predictor of procedural complications. Vibrational angioplasty is a safe technique useful in the treatment of chronic coronary occlusive disease. Patients in whom the procedure is likely to prove most successful may be easily identified by clinical and angiographic features (duration and length of occlusion).Cathet. Cardiovasc. Intervent. 46:98–104, 1999. © 1999 Wiley-Liss, Inc. REFERENCES 1 Puma JA, Sketch MH, Tcheng JE, Harrington RA, Phillips HR, Stack RS, Callif RM. Percutaneous revascularization of chronic coronary occlusions: An overview. J Am Coll Cardiol 1995; 26: 1–11. Medline 10.1016/0735-1097(95)00156-T CASPubMedWeb of Science®Google Scholar 2 Tan KH, Taub NA, Watts E, Karani S, Sowton E. 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