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. 2021 Mar;97(4):658-667.
doi: 10.1002/ccd.29106. Epub 2020 Jun 29.

Equipment utilization in chronic total occlusion percutaneous coronary interventions: Insights from the PROGRESS-CTO registry

Ilias Nikolakopoulos  1 , James W Choi  2 , Khaldoon Alaswad  3 , Jaikirshan J Khatri  4 , Oleg Krestyaninov  5 , Dmitrii Khelimskii  5 , Robert W Yeh  6 , Farouc A Jaffer  7 , Catalin Toma  8 , Mitul Patel  9 , Ehtisham Mahmud  9 , Nicholas J Lembo  10 , Manish Parikh  10 , Ajay J Kirtane  10 , Ziad A Ali  10 , Fotis Gkargkoulas  10 , Barry Uretsky  11 , Abdul M Sheikh  12 , Evangelia Vemmou  1 , Iosif Xenogiannis  1 , Bavana V Rangan  1 , Santiago Garcia  1 , Shuaib Abdullah  13 , Subhash Banerjee  13 , M Nicholas Burke  1 , Emmanouil S Brilakis  1 , Dimitri Karmpaliotis  10
Affiliations

Equipment utilization in chronic total occlusion percutaneous coronary interventions: Insights from the PROGRESS-CTO registry

Ilias Nikolakopoulos et al. Catheter Cardiovasc Interv. 2021 Mar.

Abstract

Background: We examined guidewire and microcatheter utilization during chronic total occlusion (CTO) percutaneous coronary intervention (PCI).

Methods: We examined device utilization in 2,968 CTO PCIs performed in 2,936 patients at 19 US and two international center between January 2016 and January 2019.

Results: The median number of antegrade guidewires used per case declined (5 in 2016 vs 3 in 2019) and was higher in higher complexity lesions (2 in J-CTO 0 vs. 8 in J-CTO 4 or 5 score). In antegrade-only procedures, the most frequently used guidewires were the Pilot 200 (Abbott Vascular, 37%), Fielder XT (Asahi Intecc, 25%) and Gaia third (Asahi Intecc, 18%), while the most commonly used microcatheters were the Turnpike Spiral (Vascular Solutions, 18%) and Turnpike (Vascular Solutions, 16%). Compared with 2012-2015, during 2016-2019 use of novel equipment such as the Gaia guidewires and the Turnpike microcatheters led to decreased use of Confianza Pro 12 (Asahi Intecc) wire and Corsair (Asahi Intecc) family of microcatheters. In retrograde cases, the guidewires most commonly used were the Sion (44%), Pilot 200 (27%) and Fielder FC (26%), while the Corsair/Corsair Pro, Turnpike LP (Vascular Solutions) and Caravel (Asahi Intecc) were the most frequently used microcatheters for collateral crossing (29%, 26% and 22%, respectively).

Conclusions: The most commonly used guidewires during CTO PCI are polymer-jacketed guidewires and the most commonly used microcatheters are torquable microcatheters.

Keywords: chronic total occlusion; guidewire; microcatheter; percutaneous coronary intervention.

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References

REFERENCES

    1. Suzuki Y, Tsuchikane E, Katoh O, et al. Outcomes of percutaneous coronary interventions for chronic Total occlusion performed by highly experienced Japanese specialists. First Rep Jap CTO-PCI Expert Reg. 2017;10:2144-2154.
    1. Tajti P, Burke MN, Karmpaliotis D, et al. Update in the percutaneous Management of Coronary Chronic Total Occlusions. J Am Coll Cardiol Intv. 2018;11:615-625.
    1. Tajti P, Karmpaliotis D, Alaswad K, et al. The hybrid approach to chronic total occlusion percutaneous coronary intervention: update from the PROGRESS CTO registry. J Am Coll Cardiol Intv. 2018;11:1325-1335.
    1. Galassi AR, Werner GS, Boukhris M, et al. Percutaneous recanalisation of chronic total occlusions: 2019 consensus document from the EuroCTO Club. EuroIntervention. 2019;15:198-208.
    1. Christopoulos G, Karmpaliotis D, Alaswad K, et al. Application and outcomes of a hybrid approach to chronic total occlusion percutaneous coronary intervention in a contemporary multicenter US registry. Int J Cardiol. 2015;198:222-228.

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