TY - JOUR
T1 - Efficacy of Intravascular Ultrasound–Based 3D Wiring Using the Tip Detection Method for CTO Intervention
AU - Suzuki, Satoshi
AU - Okamura, Atsunori
AU - Nagai, Hiroyuki
AU - Ishikawa, Masato
AU - Kameda, Satoshi
AU - Tanaka, Kota
AU - Watanabe, Heitaro
AU - Nakazawa, Gaku
AU - Sakata, Yasushi
AU - Shiojima, Ichiro
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/6
Y1 - 2023/6
N2 - To perform intravascular ultrasound (IVUS)–based real-time 3-dimensional wiring in chronic total occlusion percutaneous coronary intervention, we devised a tip detection method and developed AnteOwl WR (AO)-IVUS, which is an upgraded version of Navifocus WR (Navi)-IVUS with an added pull back transducer system. We compared the procedural outcomes of AO-IVUS–based 3-dimensional wiring using the tip detection method (n = 30) and Navi-IVUS–based conventional wiring (n = 17) in chronic total occlusion percutaneous coronary intervention. The success rate of IVUS-guided wiring was markedly improved in the AO-IVUS group compared with the Navi-IVUS group (93% vs 59% of cases, respectively; P = 0.007). In cases of successful IVUS-guided wiring, the IVUS-guided wiring time was markedly improved in the AO-IVUS group compared with the Navi-IVUS group (9 ± 8 minutes vs 24 ± 26 minutes, respectively; P = 0.001). There were 2 successful cases of tip detection-antegrade dissection and re-entry in the AO-IVUS group.
AB - To perform intravascular ultrasound (IVUS)–based real-time 3-dimensional wiring in chronic total occlusion percutaneous coronary intervention, we devised a tip detection method and developed AnteOwl WR (AO)-IVUS, which is an upgraded version of Navifocus WR (Navi)-IVUS with an added pull back transducer system. We compared the procedural outcomes of AO-IVUS–based 3-dimensional wiring using the tip detection method (n = 30) and Navi-IVUS–based conventional wiring (n = 17) in chronic total occlusion percutaneous coronary intervention. The success rate of IVUS-guided wiring was markedly improved in the AO-IVUS group compared with the Navi-IVUS group (93% vs 59% of cases, respectively; P = 0.007). In cases of successful IVUS-guided wiring, the IVUS-guided wiring time was markedly improved in the AO-IVUS group compared with the Navi-IVUS group (9 ± 8 minutes vs 24 ± 26 minutes, respectively; P = 0.001). There were 2 successful cases of tip detection-antegrade dissection and re-entry in the AO-IVUS group.
KW - IVUS-based 3D wiring
KW - chronic total occlusion
KW - coronary intervention
KW - tip detection method
UR - https://www.scopus.com/pages/publications/85161660747
UR - https://www.scopus.com/pages/publications/85161660747#tab=citedBy
U2 - 10.1016/j.jacasi.2023.03.003
DO - 10.1016/j.jacasi.2023.03.003
M3 - Article
AN - SCOPUS:85161660747
SN - 2772-3747
VL - 3
SP - 526
EP - 530
JO - JACC: Asia
JF - JACC: Asia
IS - 3
ER -