Articles producció científica> Medicina i Cirurgia

Efficacy and safety of tornus catheter in percutaneous coronary intervention of hard or balloon-uncrossable chronic total occlusion

  • Dades identificatives

    Identificador: PC:2485
    Autors:
    Alfredo BardajiMohsen MohandesSergio RojasJordi GuarinosFrancisco FernándezXavier OlivaMarianela Noueched
    Resum:
    DOI: ND URL: http://arya.mui.ac.ir/index.php/arya/article/view/1018 Filiació URV: SI Inclòs a la memòria: SI
  • Altres:

    Autor segons l'article: Alfredo Bardaji; Mohsen Mohandes; Sergio Rojas; Jordi Guarinos; Francisco Fernández; Xavier Oliva; Marianela Noueched
    Departament: Medicina i Cirurgia
    Autor/s de la URV: BARDAJÍ RUIZ, ALFREDO; Mohsen Mohandes; Sergio Rojas; Jordi Guarinos; Francisco Fernández; Xavier Oliva; Marianela Noueched
    Paraules clau: Percutaneous coronary intervention Chronic total occlusion catheter
    Resum: BACKGROUND: Balloon advancement and dilation through chronic total occlusion segment could be challenging in some cases after successful wire crossing. The purpose of this study was to evaluate efficacy and safety of Tornus catheter (Asahi Intecc; Aichi, Japan) in percutaneous coronary intervention of chronic total occlusion in hard or balloon-uncrossable chronic total occlusion. METHODS: The present study is a retrospective and descriptive analysis of 14 hard or balloon-uncrossable chronic total occlusions treated percutaneously in our catheterization laboratory (cathlab). Tornus catheter was used to penetrate and eventually cross the chronic total occlusion segment. Procedure success was defined when Tornus penetrated at least partly into chronic total occlusion segment making possible the subsequent balloon dilatation and stent implantation achieving a final TIMI III angiographic result with residual stenosis less than 30%. Switch to other microcatheter was considered as an unsuccessful procedure. Complications associated with the Tornus use were analyzed in order to evaluate device safety. RESULTS: The average age of patients was 65.2 ± 9.6 and 11 out of 14 (78.6%) were male. In 7 (50%) cases, Tornus was used after an unsuccessful balloon passage through occluded segment. In 11 (78.6%) out of 14 cases the procedure was successful and in 3 (21.4%) cases, the operator switched to another microcatheter to continue with the procedure. No complication occurred during all procedures. CONCLUSION: Tornus catheter can be effectively and safely used in a subgroup of patients undergoing percutaneous coronary intervention of chronic total occlusion with hard or balloon-uncrossable lesions and could facilitate the treatment of this type of lesions.
    Grup de recerca: Grup de Recerca Biomèdica HJ23
    Àrees temàtiques: Health sciences Ciencias de la salud Ciències de la salut
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 1735-3955
    Identificador de l'autor: N/D; N/D; N/D; N/D; N/D; N/D; N/D
    Data d'alta del registre: 2017-01-19
    Pàgina final: 211
    Volum de revista: 12
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: http://arya.mui.ac.ir/index.php/arya/article/view/1018
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2016
    Pàgina inicial: 206
    Tipus de publicació: Article Artículo Article
  • Paraules clau:

    Artèries coronàries -- Cirurgia
    Cateterisme
    Percutaneous coronary intervention
    Chronic total occlusion
    catheter
    Health sciences
    Ciencias de la salud
    Ciències de la salut
    1735-3955
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