dec. 16, 2021 by Philips
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Incidence increases with age, yet older patients are less likely to have PCI attempted.1 Furthermore, 18% of PCIs have a CTO, but less than 5% are being treated.2
IVUS-guided vs. angiography-guided outcomes3
ELCA Success and safety rates
Study | Lesion type | Technical success | Procedural success | MACE Rates* |
Bilodeau | Calcified and complex coronary lesions | 92.0% | 93.0% | 8.0% |
| Calcified, uncrossable, resistant coronary lesions | 95.5% | 95.5% | 8.0% |
Pratsos | Crossable coronary lesions | 98.1% | 99.0% | 0.0% |
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*Total occlusions traversable by a guide wire.
2.National Cardiac Data Registry (2016). 3. Kim BK, Shin DH, Hong MK, et al. Clinical impact of intravascular ultrasound-guided chronic total occlusion intervention with zotarolimus-eluting versus biolimus-eluting stent implantation: randomized study. Circ Cardiovasc Interv 2015;8:e002592. 4. Gao XF, Ge Z, Kong XQ, et al., Three-Year Outcomes of the ULTIMATE Trial Comparing Intravascular Ultrasound Versus Angiography-Guided Drug-Eluting Stent Implantation JACC: Cardiovascular Interventions (2020), doi: www.doi.org/10.1016/j.jcin.2020.10.001. 5. AngioSculpt Test Report SR-1571 (2008) 6. Ambrosini, V, et.al. Early outcomes of high energy laser (Excimer) facilitated coronary angioplasty on hard and complex calcified and balloon resistant coronary lesions: LEONARDO Study. Card. Revasc. Med 2015: 16: 141-146.
1. Stone, G., et. al. (2005). Percutaneous recanalization of chronically occluded coronary arteries: A consensus document: Part 1. Circulation, 112, 2364-2372.
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