Value of preprocedure multislice computed tomographic coronary angiography to predict the outcome of percutaneous recanalization of chronic total occlusions.

We performed multislice computed tomographic coronary angiography in 45 patients who had chronic total occlusions and were scheduled for percutaneous recanalization. Multivariate analysis identified a blunt stump (by conventional angiography), occlusion length >15 mm, and severe calcification (by multislice computed tomographic coronary angiography) as independent predictors of procedural failure.

[1]  R. Califf,et al.  Percutaneous revascularization of chronic coronary occlusions: an overview. , 1995, Journal of the American College of Cardiology.

[2]  C. Lau,et al.  Initial experience and safety in the treatment of chronic total coronary occlusions with a new optical coherent reflectometry-guided radiofrequency ablation guidewire. , 2003, The American journal of cardiology.

[3]  Filippo Cademartiri,et al.  Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris. , 2004, Journal of the American College of Cardiology.

[4]  J. Debatin,et al.  Radiation exposure during cardiac CT: effective doses at multi-detector row CT and electron-beam CT. , 2003, Radiology.

[5]  S. Achenbach,et al.  Quantitative parameters of image quality in multidetector spiral computed tomographic coronary imaging with submillimeter collimation. , 2003, The American journal of cardiology.

[6]  P. Serruys,et al.  Improved recanalization of chronic total coronary occlusions using an optical coherence reflectometry‐guided guidewire , 2004, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[7]  W. Bautz,et al.  Detection of Coronary Artery Stenoses With Thin-Slice Multi-Detector Row Spiral Computed Tomography and Multiplanar Reconstruction , 2003, Circulation.

[8]  R. Morin,et al.  Radiation dose in computed tomography of the heart. , 2003, Circulation.

[9]  Pedro A. Lemos,et al.  Reliable Noninvasive Coronary Angiography With Fast Submillimeter Multislice Spiral Computed Tomography , 2002, Circulation.

[10]  C D Claussen,et al.  Estimation of radiation exposure in 16-detector row computed tomography of the heart with retrospective ECG-gating. , 2003, RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin.