ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Coronary Angioplasty of Chronic Total Occlusions: Early Outcome and Factors Predictive of Initial Success [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 1996; 24(3): 149-153

Coronary Angioplasty of Chronic Total Occlusions: Early Outcome and Factors Predictive of Initial Success

Servet ÖZTÜRK1, Tevfik GÜRMEN1, Murat GÜLBARAN1, Muzaffer ÖZTÜRK1

In this study, we examined retrospectively ı26 patients who had undergone angioplasty for chronic total occlusion, in order to evaluate the early outcome and the influence of elinical and angiographic factors on the initial success. The initial elinical and angiographic success was 62.7 %. The rate of major complication was 0.8 % (one patient with Q wave myocardial infarction). The initial success was related to the duration of occlusion (~ ı month, 76.7 %, > ı month, 56 %; p = 0.03), the morphology of the stump (tapered, 71.8 %; abrupt cut-off 45.2 %; p = 0.05), the presence of side branch at the site of occlusion (no side branch, 72.2 %; side branch present, 40.5 %; p = 0.009) and the operater experience (first 63 patients, 49.2 %; last 63 patients, 77.8 %; p = 0.002). In the presence of antegrade fılling, the inirial success tended to be higher (functional total occlusion, 54.9 %; absolute total occlusion, 73.2 %; p = 0.06). W e concluded that in the angioplasty of chronic total coronary occlusion the risk of complication is lo w, and the initial success rate depends on the duration and the morphology of the occlusion and the operater experience.


How to cite this article
Servet ÖZTÜRK, Tevfik GÜRMEN, Murat GÜLBARAN, Muzaffer ÖZTÜRK. Coronary Angioplasty of Chronic Total Occlusions: Early Outcome and Factors Predictive of Initial Success. Turk Kardiyol Dern Ars. 1996; 24(3): 149-153
Manuscript Language: Turkish


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