Research Article

Reattempt Percutaneous Coronary Intervention of Chronic Total Occlusions after Prior Failures: A Single-Center Analysis of Strategies and Outcomes

Table 2

Baseline angiographic characteristics of CTO lesions.

CategoryOverall (n = 212)Final success (n = 172)Final failure (n = 40) value

CTO target vessels
 LM (%)1 (0.4)1 (0.6)0 (0.0)0.629
 LAD (%)93 (43.9)79 (45.9)14 (35.0)0.210
 LCX (%)25 (11.8)20 (11.6)5 (12.5)0.878
 RCA (%)93 (43.9)72 (41.9)21 (52.5)0.222
 In-stent occlusion (%)14 (6.6)10 (5.8)4 (10.0)0.337

Collateral channels
 CC 0 (%)4 (1.9)1 (0.6)3 (7.5)0.004
 CC 1 (%)115 (54.2)89 (51.7)26 (65.0)0.130
 CC 2 (%)93 (43.9)82 (47.7)11 (27.5)0.021
 J-CTO score3.45 ± 0.883.33 ± 0.874.00 ± 0.72<0.001
 <3 (%)41 (19.3)33 (19.2)8 (20.0)0.907
 ≥3 (%)171 (80.7)139 (80.8)32 (80.0)0.907

Number of diseased vessels
 Single VD44 (21.4)41 (24.7)3 (7.5)0.022
 Double VD84 (40.8)75 (45.2)9 (22.5)0.014
 Triple VD66 (32.0)39 (23.5)27 (67.5)<0.001
 LM + multiple VD12 (5.8)11 (6.6)1 (2.5)0.471

Morphology of the proximal cap
 Blunt100 (47.2)70 (40.7)30 (75.0)<0.001
 Side branch at the proximal cap153 (72.2)118 (68.6)35 (87.5)0.016

Target lesion morphology
 Tortuosity of the CTO lesion59 (27.8)47 (27.3)12 (30.0)0.734
 CTO length ≥20 mm160 (75.5)122 (70.9)38 (95.0)0.001

Lesion calcification
 Mild169 (79.7)141 (81.9)28 (70.0)0.090
 Moderate23 (10.9)19 (11.1)4 (10.0)0.848
 Severe20 (9.4)12 (7.0)8 (20.0)0.025

Morphology of the distal cap
 Blunt51 (24.1)24 (14.0)27 (67.5)<0.001
 Side branch at the distal cap83 (39.2)59 (34.3)24 (60.0)0.003

Values are mean ± SD or percentage. value stands for comparison between final successful and final failed angiographic characteristics of CTO lesions. LM, left main artery; LAD, left anterior descending coronary artery; LCX, left circumflex coronary artery; RCA, right coronary artery; CC, collateral connection; VD, vessel disease.