Muhammad Nadir Khan, Muhammad Faheem Iqbal Malik, Muhammad Tahir Yusuf, Muhammad Shoaib Akbar, Fraz Ahmad Butt, Shoaib Muhammad Danyal.
Outcomes of successful versus unsuccessful percutaneous coronary intervention in chronic total occlusions: a two year study.
Pak Armed Forces Med J Jan ;69(Suppl1):S138-40.

Objective: To determine the clinical outcomes of successful versus unsuccessful PCIs in CTOs. Study Design: Single center, comparative cross-sectional study. Place and Duration of Study: Army Cardiac Center, Lahore from January 2017 till December, 2018. Material and Methods: A total of 218 patients of PCI for CTO with native CAD were recruited in our study. Patients with CTO lesion >=3 months were included in our study. All the included patients had CTO lesion >=3 months. All Patients information was recorded. Patients were followed for 2 year. Data was entered and analyzed in SPSS-21. Results: We enrolled 218 patients, 200 (91.3%) were male patients while 18(8.2%) were females. Mean age of patients was 58.5 +- 9.4 years and range 37-87 years. 103 (47.0%) patients were hypertensive, 93 (42.7%) were smokers and 89 (40.8%) were diabetic. Out of 218 PCIs in CTOs successful were 14 7(67.4%) while unsuccessful were 71 (32.6%). The comparison between the two groups showed that gender, arteries involved, J-CTO score and initial approach to the lesion were found to be statistically significant (p<0.05). Most frequent reason of failure of procedure was inability of wire to cross the CTO lesion 65 (91.5). No deaths were reported during the procedures. Conclusion: With increasing experience and better equipment recanalization of CTO coronary lesions is a safe and effective treatment option for patients with persistent Angina even on appropriate medical treatment.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com