作者
Judit Karacsonyi, Peter Tajti, Bavana V Rangan, Sean C Halligan, Raymond H Allen, William J Nicholson, James E Harvey, Anthony J Spaedy, Farouc A Jaffer, J Aaron Grantham, Adam Salisbury, Anthony J Hart, David M Safley, William L Lombardi, Ravi Hira, Creighton Don, James M McCabe, M Nicholas Burke, Khaldoon Alaswad, Gerald C Koenig, Kintur A Sanghvi, Daniel Ice, Richard C Kovach, Vincent Varghese, Bilal Murad, Kenneth W Baran, Erica Resendes, Jose R Martinez-Parachini, Aris Karatasakis, Barbara A Danek, Rahel Iwnetu, Michele Roesle, Houman Khalili, Subhash Banerjee, Emmanouil S Brilakis
发表日期
2018/2/12
期刊
JACC: Cardiovascular Interventions
卷号
11
期号
3
页码范围
225-233
出版商
American College of Cardiology Foundation
简介
Objectives
The authors performed a multicenter, randomized-controlled, clinical trial comparing upfront use of the CrossBoss catheter versus antegrade wire escalation for antegrade crossing of coronary chronic total occlusions.
Background
There is equipoise about the optimal initial strategy for crossing coronary chronic total occlusions.
Methods
The primary endpoints were the time required to cross the chronic total occlusion or abort the procedure and the frequency of procedural major adverse cardiovascular events. The secondary endpoints were technical and procedural success, total procedure time, fluoroscopy time required to cross and total fluoroscopy time, total air kerma radiation dose, total contrast volume, and equipment use.
Results
Between 2015 and 2017, 246 patients were randomized to the CrossBoss catheter (n = 122) or wire escalation (n = 124) at 11 U.S. centers. The baseline clinical and …
引用总数
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