78
CTO PCI in secondary revascularisation after CABG Achim Büttner EUROCTOCLUB - Madrid, September 26 th , 2014 Klinik für Kardiologie und Angiologie II Universitäts-Herzzentrum Freiburg – Bad Krozingen

10:00 Büttner - CTO PCI after CABG

  • Upload
    eurocto

  • View
    389

  • Download
    1

Embed Size (px)

Citation preview

PowerPoint-Prsentation

CTO PCI in secondary revascularisation after CABGAchim BttnerEUROCTOCLUB - Madrid, September 26th, 2014

Klinik fr Kardiologie und Angiologie IIUniversitts-Herzzentrum Freiburg Bad Krozingen

Cumulative patency rates for graft types in symptomatic patientsKhot UN et al. Circulation 2004;109:2086-2091

2Cleveland Clinic

Prevalence of CTO in PCI patientsFefer P et al, (Canadian PCI Registry) JACC 2012;59:991-7

In 58% of post-CABG CTO patients multiple CTOs3

LIMA-graft on LAD patentCTO of proximal RCA 59 yrs. * 6 yrs. post CABG * Angina CCS 2 LVEF 62% * SVGs on LCX and RCA 100% #192996

Left coronary artery (RAO)

Registry dataTechnical aspects Calcification Bypass grafts as guidewire conduit CART Recanalisation of graftsPrognosis after PCI

Complex CTOs: Patients after CABG Registry 3 US centres, 2006 2011 (n=1363 CTO patients)P