The Outcomes of Percutaneous Coronary Intervention in Chronic Total Coronary Occlusion: A Single Center Report

Authors

  • AKM Fazlur Rahman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Mohammad Salman Anwer Khan Modern Medical College, Dhanmondi, Dhaka
  • Sajal K Banerjee Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Khairul Anam Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Mukhlesur Rahman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Md Khurshed Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • SM Mustafa Zaman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Ahsan Habib Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Md Abu Siddique Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • KMHS Sirajul Haque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Choudhury Meshkat Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Mohmmad Safiuddin Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Mir Jamiluddin Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka
  • Nilufar Fatema Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka
  • Md Harisul Hoque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka

DOI:

https://doi.org/10.3329/uhj.v6i1.7183

Keywords:

Chronic total occlusions, In hospital adverse outcomes, Percutaneous coronary intervention

Abstract

Chronic total occlusions (CTOs) are commonly found on diagnostic angiography, and successful percutaneous coronary intervention leads to an improvement in long-term survival rates. This study was done in the University Cardiac Center, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, from January 2005 to December 2009. The aim of this study was to examine the trends in angiographic success, clinical success, procedural success and in-hospital outcomes after percutaneous coronary intervention (PCI) for chronic total occlusions (CTO). Total 60 patients (male: female, 11:1) with Mean age 48±10 years were studied. 36 (60%) patients had prior myocardial infarction and all of them had angina (CCS-III, IV). Mean length and reference diameter of the CTO lesion was 19.7±10.4 mm and 2.8±0.5 mm respectably. Clinical success, angiographic success and procedural success rate was (78.3%), (80.0%) and (66.7%) respectably. In hospital adverse outcomes were acute myocardial infarction (5.0%), acute left ventricular failure (6.7%) and malignant arrhythmias (VT, VF) (10.0%). PCI was failed in (11.7%) cases and there was acute in-stent thrombosis in (1.7%) cases. In conclusion it is possible to obtain a relatively high success rate of PCI and favorable clinical outcomes for patients with coronary CTO lesions.

Key words: Chronic total occlusions; In hospital adverse outcomes; Percutaneous coronary intervention

DOI: 10.3329/uhj.v6i1.7183

University Heart Journal Vol.6(1) 2010 pp.13-17

Downloads

Download data is not yet available.
Abstract
509
PDF
402

Downloads

How to Cite

Rahman, A. F., Salman, M., Banerjee, S. K., Anam, K., Rahman, M., Ahmed, M. K., Zaman, S. M., Habib, A., Siddique, M. A., Haque, K. S., Ahmed, C. M., Safiuddin, M., Jamiluddin, M., Fatema, N., & Hoque, M. H. (2011). The Outcomes of Percutaneous Coronary Intervention in Chronic Total Coronary Occlusion: A Single Center Report. University Heart Journal, 6(1), 13–17. https://doi.org/10.3329/uhj.v6i1.7183

Issue

Section

Original Articles