Table 2.
Procedural Characteristics and Outcomes of the Study Lesions, Classified According to Whether Retrograde Crossing was Attempted or Not
Variable | Overall | Retrograde | Antegrade-only | p |
---|---|---|---|---|
IVUS used (%)† | 37.2 | 48.5 | 30.5 | <0.001 |
Stent optimization (%) | 46.2 | 42.6 | 49.6 | 0.283 |
To guide rCART (%) | 11.4 | 23.5 | - | - |
To determine appropriate stent size (%) |
36.9 | 37.4 | 36.4 | 0.870 |
To assist wiring (%) | 25.9 | 30.4 | 21.5 | 0.117 |
To guide antegrade cap puncture (%) |
13.1 | 14.8 | 11.6 | 0.465 |
Stenting (%) | 88.6 | 84.2 | 91.6 | <0.001 |
Number of stents* | 2.5±1.1 | 2.9±1.2 | 2.3±1 | <0.001 |
Stent length (mm)* | 52.3±45.6 | 59.5±51.9 | 47.7±40.2 | <0.001 |
Hemodynamic support (%) | 4.0 | 6.7 | 2.1 | <0.001 |
Fluoroscopy time (min)* | 45.6 (27.2–75.1) | 73.8 (53.1– 101.4) |
31.8 (20.2–46.4) | <0.001 |
Patient air kerma radiation dose (Gray)* |
3.5 (2.0–5.4) | 4.8 (3.0–6.6) | 2.6 (1.6–4.2) | <0.001 |
Procedure time (min)* | 125 (85–185) | 183 (128–234) | 100 (68–135) | <0.001 |
Contrast volume (ml)* | 260 (200 – 360) | 300 (220 – 404) | 245 (180 – 320) | <0.001 |
Technical success (%) | 90.0 | 84.8 | 93.7 | <0.001 |
Antegrade wire escalation (%) |
46.7 | 8.8 | 71.0 | <0.001 |
Antegrade dissection/re- entry (%) |
24.6 | 17.7 | 29.0 | |
Retrograde (%) | 28.7 | 73.5 | - | |
Procedural success (%) | 88.6 | 81.9 | 93.3 | <0.001 |
MACE (%) | 2.4 | 4.3 | 1.1 | <0.001 |
Death (%) | 0.4 | 0.8 | 0.1 | 0.167 |
Myocardial infarction (%) | 1.0 | 2.1 | 0.3 | 0.003 |
Stroke (%) | 0.3 | 0.4 | 0.3 | 0.999 |
Emergency re-PCI (%) | 0.3 | 0.6 | 0.1 | 0.314 |
Emergency CABG (%) | - | - | - | - |
Emergency | 0.7 | 1.3 | 0.3 | 0.039 |
Pericardiocentesis (%) | ||||
Coronary perforation (%) | 3.4 | 5.5 | 1.9 | <0.001 |
CABG, coronary artery bypass graft surgery; IVUS, intravascular ultrasound; MACE, major adverse cardiovascular events; PCI, percutaneous coronary intervention; rCART, reverse controlled antegrade and retrograde subintimal tracking
mean±standard deviation or median (interquartile range).
In some procedures IVUS was used for multiple indications.