About this trial
Coronary chronic total occlusions (CTO) present a significant challenge in the field of interventional cardiology. These complex lesions, characterized by complete blockage of a coronary artery for a prolonged duration, often require specialized techniques and strategies to achieve successful revascularization.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Over 20 years old
Chronic total occlusion confirmed by coronary angiography, and noted for more than 3 months
Disqualifiers
None
Trial population
1. Over 20 years old 2. Chronic total occlusion confirmed by coronary angiography, and noted for more than 3 months
Trial design
Case-control
Retrospective
Treatments tested in this trial
Percutaneous coronary intervention of coronary chronic total occlusion
Procedure/SurgeryCoronary CTO was identified by coronary angiography, and its revascularization was attempted by either antegrade, retrograde or both approach.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants with technical success of CTO revascularization
Successful CTO recanalization with \<20% residual stenosis within the treated segment and restoration of Thrombolysis in Myocardial Infarction grade 3 antegrade flow, without side branch loss
Number of participants with collateral channel tracking success
retrograde guidewire crossing the CC to reach the distal cap of CTO segment.
Number of participants with major adverse cerebral cardiovascular events
Death, CV death, myocardial infarction, stroke, repeat revascularization
Secondary outcomes
Number of participants with periprocedural myocardial infarction
Confirmed by
Number of participants with periprocedural complications
Periprocedural myocardial infarction, vessel perforation, stroke, urgent or emergent revascularization
Sponsors and contacts
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National Taiwan University Hospital
Lead sponsor
Chang Gung Memorial Hospital
Collaborator
Taipei Veterans General Hospital, Taiwan
Collaborator