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- Title
Impact of single-plane versus Bi-plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion percutaneous coronary intervention.
- Authors
Fang, Hsiu‐Yu; Wu, Chiung‐Jen; Lee, Wei‐Chieh; Fang, Hsiu-Yu; Wu, Chiung-Jen; Lee, Wei-Chieh
- Abstract
<bold>Objective: </bold>The aim of the study is to evaluate the impact of single-plane and bi-plane imaging on procedural time, fluorescence time, and contrast medium volume in retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI).<bold>Methods: </bold>Between January 2008 and December 2015, a total of 359 patients received scheduled retrograde CTO PCI and were enrolled in the study; 119 patients underwent PCI by single-plane imaging, and another 240 patients underwent PCI by bi-plane imaging.<bold>Results: </bold>A 95.0% rate of technical success was noted in the single-plane imaging group, and a 95.8% rate of technical success was noted in the bi-plane imaging group. All patients received the CTO approach via the retrograde method, and the retrograde method success rate was 88.2% in single-plane imaging group, and 81.7% in the bi-plane imaging group. A longer procedural time (153.73 ± 53.15 vs 172.88 ± 61.30 min; P = 0.004), longer fluorescence time (71.40 ± 25.96 vs 80.95 ± 34.70 min; P = 0.008), and more contrast medium volume (342.77 ± 102.25 vs 394.58 ± 156.41 mL; P = 0.001) were noted in the bi-plane imaging group. After propensity score match, a longer procedural time, longer fluorescence time, and more contrast volume was noted in bi-plane group.<bold>Conclusion: </bold>Bi-plane imaging could not decrease procedural time, fluorescence time, and contrast medium volume in retrograde CTO PCI.
- Subjects
PERCUTANEOUS coronary intervention; CORONARY disease; CORONARY angiography; MYOCARDIAL infarction; COMPUTED tomography; CORONARY artery surgery; CORONARY heart disease surgery; CARDIOVASCULAR system; CHRONIC diseases; CORONARY arteries; LIGHT; LONGITUDINAL method; MEDICAL care; PROBABILITY theory; RADIODERMATITIS; TIME; TREATMENT effectiveness; ACQUISITION of data; CONTRAST media; RETROSPECTIVE studies; HOSPITAL mortality; DRUG administration; DRUG dosage
- Publication
Journal of Interventional Cardiology, 2018, Vol 31, Issue 6, p799
- ISSN
0896-4327
- Publication type
journal article
- DOI
10.1111/joic.12545