Articles producció científica> Medicina i Cirurgia

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

  • Identification data

    Identifier: imarina:5130666
    Authors:
    Mohandes MRojas SGuarinos JFernández FOliva XNoueched MBardaji A
    Abstract:
    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.
  • Others:

    Author, as appears in the article.: Mohandes M; Rojas S; Guarinos J; Fernández F; Oliva X; Noueched M; Bardaji A
    Department: Medicina i Cirurgia
    URV's Author/s: Bardají Ruiz, Alfredo / Mohandes Yusefian, Mohsen
    Keywords: Survival Support Revascularization Recanalization Percutaneous coronary intervention Penetration catheter Outcomes Experience Consensus document Chronic total occlusion Catheter Arteries Angioplasty
    Abstract: 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.
    Thematic Areas: Ciencias sociales Cardiology and cardiovascular medicine Cardiac & cardiovascular systems
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mohsen.mohandes@urv.cat alfredo.bardaji@urv.cat mohsen.mohandes@urv.cat
    Author identifier: 0000-0003-1045-3639 0000-0003-1900-6974 0000-0003-1045-3639
    Record's date: 2023-04-01
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://arya.mui.ac.ir/article_10541.html
    Papper original source: Arya Atherosclerosis. 12 (4): 206-211
    APA: Mohandes M; Rojas S; Guarinos J; Fernández F; Oliva X; Noueched M; Bardaji A (2016). Efficacy and safety of Tornus catheter in percutaneous coronary intervention of hard or balloon-uncrossable chronic total occlusion. Arya Atherosclerosis, 12(4), 206-211
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2016
    Publication Type: Journal Publications
  • Keywords:

    Cardiac & Cardiovascular Systems,Cardiology and Cardiovascular Medicine
    Survival
    Support
    Revascularization
    Recanalization
    Percutaneous coronary intervention
    Penetration catheter
    Outcomes
    Experience
    Consensus document
    Chronic total occlusion
    Catheter
    Arteries
    Angioplasty
    Ciencias sociales
    Cardiology and cardiovascular medicine
    Cardiac & cardiovascular systems
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