%0 Journal Article
%T Percutaneous Intervention of CTO Lesion and Non-CTO Lesion in Patients with Coronary Chronic Total Occlusion
%A Binay Kumar Adhikari
%A Shudong Wang
%A Cheng Li
%A Yonggang Wang
%A Quan Liu
%J World Journal of Cardiovascular Diseases
%P 600-611
%@ 2164-5337
%D 2019
%I Scientific Research Publishing
%R 10.4236/wjcd.2019.98052
%X <strong>Background</strong><span style=\"line-height:1.5;font-family:Verdana;\"><strong>:</strong> With the improved lifestyle of people, the incidence of coronary artery disease is gradually increasing. Approximately 15</span><span style=\"line-height:1.5;font-family:Verdana;\">% </span><span style=\"line-height:1.5;font-family:Verdana;\">-</span><span style=\"line-height:1.5;font-family:Verdana;\"> </span><span style=\"line-height:1.5;font-family:'';\"><span style=\"font-family:Verdana;\">20% of patients undergoing diagnostic catheterization had one or more chronically occluded coronary arteries. </span><b><span style=\"font-family:Verdana;\">Method</span></b><span style=\"font-family:Verdana;\">: The patients who were diagnosed</span></span><span style=\"line-height:1.5;font-family:Verdana;\"> with</span><span style=\"line-height:1.5;font-family:Verdana;\"> chronic total occlusion (CTO) in our hospital within one year period have been included. They were initially divided into two groups based on angiographic reports: single vessel disease (SVD) and non-single vessel disease (non-SVD) group, then into optimal medical therapy (OMT) group, percutaneous coronary intervention (PCI) group and coronary artery bypass graft (CABG) group.&nbsp;Finally, PCI group </span><span style=\"line-height:1.5;font-family:Verdana;\">is </span><span style=\"line-height:1.5;font-family:Verdana;\">further divided into PCI of CTO lesion (CTO PCI group) </span><span style=\"line-height:1.5;font-family:'';\"><span style=\"font-family:Verdana;\">and PCI&nbsp;of non-CTO lesion (non-CTO PCI group). </span><b><span style=\"font-family:Verdana;\">Results</span></b><span style=\"font-family:Verdana;\">: A total of 261 patients were enrolled as CTO patients, mean age was 62.83 years, 70.1% were male patients.&nbsp;The incidence rate of common risk factors was hypertension (64.4%), followed by smoking (48.3%), diabetes (34.5%) and hyperlipidaemia (27.2%).&nbsp;SVD, DVD and TVD were present in 39 patients (14.94%), 81 patients (31.03%)&nbsp;and 141 patients (54.02%) respectively. Comparing the long term efficacy, the rate</span></span><span style=\"line-height:1.5;font-family:Verdana;\">s</span><span style=\"line-height:1.5;font-family:Verdana;\"> of MACE and non-target vessel revascularization were higher in CTO PCI than non-CTO PCI group, and were statistically significant (p &lt; 0.05). The rate</span><span style=\"line-height:1.5;font-family:Verdana;\">s</span><span style=\"line-height:1.5;font-family:Verdana;\"> of target vessel revascularization, CABG and all cause death were
%K Chronic Total Occlusion
%K Percutaneous Coronary Intervention
%K Clinical  Efficacy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=94465