ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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JMBS 2018, 3(7): 60–63
Clinical Medicine

Immediate Angiographic Results in Patients with Chronic Coronary Occlusion

Aksenov E. V., Golovenko V. B., Gumenyuk B. M.

The work deals with the study of direct angiographic results during endovascular recanalization in patients with chronic coronary occlusion (CCO). Material and methods. The research included 365 patients with CCO, who were conducted diagnostic and medical intervention procedures for this pathology on the basis of the angiographic department National Institute of N. Amosov Cardiovascular Surgery. The average age of patients was 66,96±1,81, the average weight was 86,5±1,44 kg. Duration of occlusion was determined from the moment of myocardial infarction in the basin of the infarct-linked coronary artery (CA). Results and discussion. The duration of occlusion from 3 to 6 months was observed in 26.8% of patients (98 patients). The period of occlusion from 6 to 12 months was registered in 37.5% of patients (137 people). The total duration of occlusion from 1 year to 3 years was in 35.6% of patients (130 patients). As a result of the performed studies, it was determined that in patients who had CCO during 1 year up to 3 years, the negative angiographic result was 2.2 times more than in patients with a period of occlusion up to 1 year (р = 0,001256). In assessing the effect of the "prescription" of obstruction CА on the immediate results of diffraction of patients with CCO, we found out that in the first year after the occurrence of occlusion, the probability of successful recovery of coronary blood flow is the highest. Conclusions. During operation of recanalization in patients with CCO, the highest percentage of angiographic success was achieved when the right coronary artery was recanalized (89.6% of cases), and the highest percentage of procedural failures was observed in the recanalization of the right descending artery (17.5% of cases).

Keywords: chronic occlusion, coronary arteries

Full text: PDF (Ukr) 231K

  1. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Executive summary: heart disease and stroke statistics ‒ 2013 update: a report from the American Heart Association. Circulation. 2013; 127(1): 143-52.
  2. Gandzyuk VA. Analiz zakhvoryuvanosti na ishemichnu khvorobu sertsya v Ukrayini. Ukrayinskyy kardiologichnyy zhurnal. 2014; 3: 45-52. [Ukrainian]
  3. Kovalenko VM, Kornatskyy VM. Regionalni medyko-sotsialni problemy khvorob systemy krovoobigu. Dynamika ta analiz. K: MOZ Ukrayiny, DU «UISD MOZ Ukrayiny»; 2013. 239 s. [Ukrainian]
  4. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics ‒ 2012 update: a report from the American Heart Association. Circulation. 2012; 125(1): e2-e220.
  5. Tarasov RS, Kochergina AM, Ganyukov VI, et al. Results of endovascular revascularization in elderly patients with ST-segment elevation myocardial infarction in multivessel disease in relation to the degree of coronary atherosclerosis. Ter Arkh. 2016; 88(1): 23-8.
  6. Brott BC. The safety and outcomes of chronic total occlusion interventions. JACC Cardiovasc. Interv. 2013; 6(2): 137-8.
  7. Fefer P, Knudtson ML, Cheema AN, Galbraith PD, Osherov AB, Yalonetsky S, et al. Current perspectives on coronary chronic total occlusions: the Canadian Multicenter Chronic Total Occlusions Registry. J Am Coll Cardiol. 2012; 59(11): 991-7.
  8. Patel VG, Michael TT, Mogabgab O, et al. Clinical, angiographic, and procedural predictors of periprocedural complications during chronic total occlusion percutaneous coronary intervention. J Invasive Cardiol. 2014; 26(3): 100-5.