Определение предикторов успешной реканализации хронических окклюзий коронарных артерий методом компьютерной коронарографии
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Ключевые слова: хроническая окклюзия коронарных артерий, ишемическая болезнь сердца, КТ-ангиография, реканализация.
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The review illuminated actual issues of the diagnostic efficiency of computed tomography (CT) of the coronary arteries in the planning of the procedure percutaneous coronary intervention (PCI) in patients with chronic occlusion of coronary arteries (CTO). The results of researches of detection of predictors of unsuccessful recanalization according to traditional coronary angiography (CAG) and CT angiography were presented. The major CT characteristics of the CTO, which can supplement the coronary angiography data to predict outcomes of the PCI were discussed.
Keywords: chronic occlusion of coronary arteries, cardiac ischemia, CT-angiography, recanalization.
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3. Rolf A, Werner G, Schuhbäck A, et al. Preprocedural coronary CT angiography significantly improves success rates of PCI for chronic total occlusion. The International J Cardiovascular Imaging. 2013;29(8):1819-27. doi:10.1007/s10554-013-0258-y
4. Brilakis E, Banerjee S, Karmpaliotis D, et al. Procedural Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention. JACC: Cardiovascular Interventions. 2015;8(2):245-53. doi:10.1016/j.jcin. 2014.08.014
5. Ong A, Serruys P, Mohr F, et al. The SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery (SYNTAX) study: Design, rationale, and run-in phase. American Heart J. 2006;151(6):1194-204. doi:10.1016/j.ahj.2005.07.017
6. Suero J, Marso S, Jones P, et al. Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries: a 20-year experience. J American College Cardiol. 2001;38(2):409-14. doi:10.1016/s0735-1097(01)01349-3
7. Cohen H, Williams D, Holmes D, et al. Impact of age on procedural and 1-year outcome in percutaneous transluminal coronary angioplasty: a report from the NHLBI dynamic registry. American Heart J. 2003;146(3):513-19. doi:10.1016/s0002-8703(03)00259-x
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9. Galassi A, Tomasello S, Reifart N, et al. In-hospital outcomes of percutaneous coronary intervention in patients with chronic total occlusion: insights from the ERCTO (European Registry of Chronic Total Occlusion) registry. EuroIntervention. 2011;7(4):472-9. doi:10.4244/ eijv7i4a77
10. Karjalainen P, Nammas W. Percutaneous revascularization of coronary chronic total occlusion: Toward a reappraisal of the available evidence. J Cardiology. 2017;69(6):799-807. doi:10.1016/j.jjcc.2016.12.006
11. Puma J, Sketch M, Tcheng J, et al. Percutaneous revascularization of chronic coronary occlusions: An overview. J American College Cardiol. 1995;26(1):1-11. doi:10.1016/0735-1097(95)00156-t
12. Galassi A, Sianos G, Werner G, et al. Retrograde Recanalization of Chronic Total Occlusions in Europe. J American College Cardiol. 2015;65(22):2388-400. doi:10.1016/j.jacc.2015.03.566
13. Morino Y, Kimura T, Hayashi Y, et al. In-Hospital Outcomes of Contemporary Percutaneous Coronary Intervention in Patients With Chronic Total Occlusion. JACC: Cardiovascular Interventions. 2010;3(2):143-51. doi:10.1016/j.jcin.2009.10.029
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15. Sapontis J, Grantham J. Chronic total occlusion angioplasty: no more excuses. Interventional Cardiol. 2014;6(5):415-23. doi:10.2217/ ica.14.42
16. Opolski M, Achenbach S, Schuhbäck A, et al. Coronary Computed Tomographic Prediction Rule for Time-Efficient Guidewire Crossing Through Chronic Total Occlusion. JACC: Cardiovascular Interventions. 2015;8(2):257-67. doi:10.1016/j.jcin.2014.07.031
17. Kim D, Choi D, Suh J, Lee N. Cardiac Multidetector Row CT before Percutaneous Coronary Intervention as a Treatment Guide for Chronic Total Occlusion. J Korean Society Radiol. 2015;72(3):147. doi:10.3348/jksr.2015.72.3.147
18. Li P, Gai L, Yang X, Sun Z, Jin Q. Computed tomography angiography-guided percutaneous coronary intervention in chronic total occlusion. J Zhejiang University SCIENCE B. 2010;11(8):568-74. doi:10.1631/jzus.b1001013
19. Werner G, Hecht H, Stone G. Utility of CT Angiography to Guide Coronary Intervention of CTO∗. JACC: Cardiovascular Imaging. 2015;8(7):814-6. doi:10.1016/j.jcmg.2015.04.009
20. Strauss B, Segev A, Wright G, et al. Microvessels in Chronic Total Occlusions: Pathways for Successful Guidewire Crossing? J Interventional Cardiol. 2005;18(6):425-36. doi:10.1111/j.1540-8183.2005.00082.x
21. Christopoulos G, Wyman R, Alaswad K, et al. Clinical Utility of the Japan–Chronic Total Occlusion Score in Coronary Chronic Total Occlusion Interventions. Circulation: Cardiovascular Interventions. 2015;8(7):e002171. doi:10.1161/circinterventions.114.002171
22. Хелимский Д.А., Крестьянинов О.В., Шермук А.А., Ибрагимов Р.У., Марченко А.В., Редькин Д.А., Гранкин Д.С., Прохорихин А.А., Кретов Е.И. Прогнозирование исхода эндоваскулярных вмешательств у пациентов с хроническими окклюзиями коронарных артерий. Можем ли мы предсказать результат? Патология кровообращения и кардиохирургия. 2017;21(1):91-7 [Khelimskiy DA, Krestyaninov OV, Shermuk AA, Ibragimov RU, Marchenko AV, Redkin DA, Grankin DS, Prokhorikhin AA, Kretov EI. Predicting endovascular intervention outcomes in patients with chronic total occlusion of coronary artery. Can we forecast the result? Patologiya krovoobrashcheniya i kardiokhirurgiya. 2017;21(1):91-7 (In Russ.)]. doi: 10.21688-1681-3472-2017-1-91-97
23. Бабунашвили А.М., Иванов В.А. Хронические окклюзии коронарных артерий: анатомия, патофизиология, эндоваскулярное лечение. М.: ACB, 2012 [Babunashvili AM, Ivanov VA. Khronicheskie okklyuzii koronarnykh arterii: anatomiya, patofiziologiya, endovaskulyarnoe lechenie. M.: ACB, 2012 (In Russ.)].
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25. Morrow D, Antman E, Charlesworth A, et al. TIMI Risk Score for ST-Elevation Myocardial Infarction: A Convenient, Bedside, Clinical Score for Risk Assessment at Presentation : An Intravenous nPA for Treatment of Infarcting Myocardium Early II Trial Substudy. Circulation. 2000;102(17):2031-7. doi:10.1161/01.cir.102.17.2031
26. Yu C, Lee H, Suh J, et al. Coronary Computed Tomography Angiography Predicts Guidewire Crossing and Success of Percutaneous Intervention for Chronic Total Occlusion CLINICAL PERSPECTIVE. Circulation: Cardiovascular Imaging. 2017;10(4):e005800. doi:10.1161/ circimaging.116.005800
27. Usui E, Lee T, Murai T, et al. Efficacy of Multidetector Computed Tomography to Predict Periprocedural Myocardial Injury After Percutaneous Coronary Intervention for Chronic Total Occlusion. International Heart J. 2017;58(1):16-23. doi:10.1536/ihj.16-114
28. Tan Y, Zhou J, Zhang W, et al. Comparison of CT-RECTOR and J-CTO scores to predict chronic total occlusion difficulty for percutaneous coronary intervention. International J Cardiol. 2017;235:169-75. doi:10.1016/j.ijcard.2017.02.008
29. Luo C, Huang M, Li J, et al. Predictors of Interventional Success of Antegrade PCI for CTO. JACC: Cardiovascular Imaging. 2015;8(7):804-13. doi:10.1016/j.jcmg.2015.04.008
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1. Sianos G, Werner G, Galassi A, et al. Recanalisation of Chronic Total coronary Occlusions: 2012 consensus document from the EuroCTO club. EuroIntervention. 2012;8(1):139-45. doi:10.4244/eijv8i1a21
2. Fefer P, Knudtson M, Cheema A, et al. Current Perspectives on Coronary Chronic Total Occlusions. J Amer College Cardiol. 2012;59(11):991-7. doi:10.1016/j.jacc.2011.12.007
3. Rolf A, Werner G, Schuhbäck A, et al. Preprocedural coronary CT angiography significantly improves success rates of PCI for chronic total occlusion. The International J Cardiovascular Imaging. 2013;29(8):1819-27. doi:10.1007/s10554-013-0258-y
4. Brilakis E, Banerjee S, Karmpaliotis D, et al. Procedural Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention. JACC: Cardiovascular Interventions. 2015;8(2):245-53. doi:10.1016/j.jcin. 2014.08.014
5. Ong A, Serruys P, Mohr F, et al. The SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery (SYNTAX) study: Design, rationale, and run-in phase. American Heart J. 2006;151(6):1194-204. doi:10.1016/j.ahj.2005.07.017
6. Suero J, Marso S, Jones P, et al. Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries: a 20-year experience. J American College Cardiol. 2001;38(2):409-14. doi:10.1016/s0735-1097(01)01349-3
7. Cohen H, Williams D, Holmes D, et al. Impact of age on procedural and 1-year outcome in percutaneous transluminal coronary angioplasty: a report from the NHLBI dynamic registry. American Heart J. 2003;146(3):513-19. doi:10.1016/s0002-8703(03)00259-x
8. [Tereshchenko AS, Mironov VM, Merkulov EV, Samko AN. Chronic total occlusions of coronary arteries: morphology, pathophysiology, technique of recanalization. Ateroskleroz i dislipidemii. 2013;4(12) (In Russ.)].
9. Galassi A, Tomasello S, Reifart N, et al. In-hospital outcomes of percutaneous coronary intervention in patients with chronic total occlusion: insights from the ERCTO (European Registry of Chronic Total Occlusion) registry. EuroIntervention. 2011;7(4):472-9. doi:10.4244/ eijv7i4a77
10. Karjalainen P, Nammas W. Percutaneous revascularization of coronary chronic total occlusion: Toward a reappraisal of the available evidence. J Cardiology. 2017;69(6):799-807. doi:10.1016/j.jjcc.2016.12.006
11. Puma J, Sketch M, Tcheng J, et al. Percutaneous revascularization of chronic coronary occlusions: An overview. J American College Cardiol. 1995;26(1):1-11. doi:10.1016/0735-1097(95)00156-t
12. Galassi A, Sianos G, Werner G, et al. Retrograde Recanalization of Chronic Total Occlusions in Europe. J American College Cardiol. 2015;65(22):2388-400. doi:10.1016/j.jacc.2015.03.566
13. Morino Y, Kimura T, Hayashi Y, et al. In-Hospital Outcomes of Contemporary Percutaneous Coronary Intervention in Patients With Chronic Total Occlusion. JACC: Cardiovascular Interventions. 2010;3(2):143-51. doi:10.1016/j.jcin.2009.10.029
14. Brilakis E, Banerjee S, Karmpaliotis D, et al. Procedural Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention. JACC: Cardiovascular Interventions. 2015;8(2):245-53. doi:10.1016/j.jcin. 2014.08.014
15. Sapontis J, Grantham J. Chronic total occlusion angioplasty: no more excuses. Interventional Cardiol. 2014;6(5):415-23. doi:10.2217/ ica.14.42
16. Opolski M, Achenbach S, Schuhbäck A, et al. Coronary Computed Tomographic Prediction Rule for Time-Efficient Guidewire Crossing Through Chronic Total Occlusion. JACC: Cardiovascular Interventions. 2015;8(2):257-67. doi:10.1016/j.jcin.2014.07.031
17. Kim D, Choi D, Suh J, Lee N. Cardiac Multidetector Row CT before Percutaneous Coronary Intervention as a Treatment Guide for Chronic Total Occlusion. J Korean Society Radiol. 2015;72(3):147. doi:10.3348/jksr.2015.72.3.147
18. Li P, Gai L, Yang X, Sun Z, Jin Q. Computed tomography angiography-guided percutaneous coronary intervention in chronic total occlusion. J Zhejiang University SCIENCE B. 2010;11(8):568-74. doi:10.1631/jzus.b1001013
19. Werner G, Hecht H, Stone G. Utility of CT Angiography to Guide Coronary Intervention of CTO∗. JACC: Cardiovascular Imaging. 2015;8(7):814-6. doi:10.1016/j.jcmg.2015.04.009
20. Strauss B, Segev A, Wright G, et al. Microvessels in Chronic Total Occlusions: Pathways for Successful Guidewire Crossing? J Interventional Cardiol. 2005;18(6):425-36. doi:10.1111/j.1540-8183.2005.00082.x
21. Christopoulos G, Wyman R, Alaswad K, et al. Clinical Utility of the Japan–Chronic Total Occlusion Score in Coronary Chronic Total Occlusion Interventions. Circulation: Cardiovascular Interventions. 2015;8(7):e002171. doi:10.1161/circinterventions.114.002171
22. [Khelimskiy DA, Krestyaninov OV, Shermuk AA, Ibragimov RU, Marchenko AV, Redkin DA, Grankin DS, Prokhorikhin AA, Kretov EI. Predicting endovascular intervention outcomes in patients with chronic total occlusion of coronary artery. Can we forecast the result? Patologiya krovoobrashcheniya i kardiokhirurgiya. 2017;21(1):91-7 (In Russ.)]. doi: 10.21688-1681-3472-2017-1-91-97
23. [Babunashvili AM, Ivanov VA. Khronicheskie okklyuzii koronarnykh arterii: anatomiya, patofiziologiya, endovaskulyarnoe lechenie. M.: ACB, 2012 (In Russ.)].
24. [ Shakhov BE, Chebotar’ EV, Ryazhskikh AI, Shumakov IV, Nagaev RY. Indications for contralateral opacification application in the context of antegrade recanalization of coronary сhronic total occlusions (CTO). REJR. 2017;7(3):69-82 (In Russ.)]. doi:10.21569/2222-7415-2017-7-3-69-82
25. Morrow D, Antman E, Charlesworth A, et al. TIMI Risk Score for ST-Elevation Myocardial Infarction: A Convenient, Bedside, Clinical Score for Risk Assessment at Presentation : An Intravenous nPA for Treatment of Infarcting Myocardium Early II Trial Substudy. Circulation. 2000;102(17):2031-7. doi:10.1161/01.cir.102.17.2031
26. Yu C, Lee H, Suh J, et al. Coronary Computed Tomography Angiography Predicts Guidewire Crossing and Success of Percutaneous Intervention for Chronic Total Occlusion CLINICAL PERSPECTIVE. Circulation: Cardiovascular Imaging. 2017;10(4):e005800. doi:10.1161/ circimaging.116.005800
27. Usui E, Lee T, Murai T, et al. Efficacy of Multidetector Computed Tomography to Predict Periprocedural Myocardial Injury After Percutaneous Coronary Intervention for Chronic Total Occlusion. International Heart J. 2017;58(1):16-23. doi:10.1536/ihj.16-114
28. Tan Y, Zhou J, Zhang W, et al. Comparison of CT-RECTOR and J-CTO scores to predict chronic total occlusion difficulty for percutaneous coronary intervention. International J Cardiol. 2017;235:169-75. doi:10.1016/j.ijcard.2017.02.008
29. Luo C, Huang M, Li J, et al. Predictors of Interventional Success of Antegrade PCI for CTO. JACC: Cardiovascular Imaging. 2015;8(7):804-13. doi:10.1016/j.jcmg.2015.04.008
1 ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России, Москва, Россия;
2 ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский университет), Москва, Россия
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T.N. VESELOVA 1, N.K. AZNAUROVA 1, S.K. TERNOVOY 1,2
1 Federal State budget organization National medical research center of cardiology of the Ministry of Health of the Russian Federation, Moscow, Russia;
2 Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia