Use of Plaque Modification Microcatheters During Percutaneous Coronary Interventions for Chronic Total Occlusion: Insights From the PROGRESS-CTO Registry

Deniz Mutlu, Athanasios Rempakos, Michaella Alexandrou, Ahmed Al-Ogaili, Farouc A. Jaffer, Khaldoon Alaswad, Jaikirshan J. Khatri, Laura Young, Mir B. Basir, Oleg Krestyaninov, Dmitrii Khelimskii, Sevket Gorgulu, Omer Goktekin, James W. Choi, Raj H. Chandwaney, Srinivasa Potluri, Paul Poommipanit, Barry Uretsky, David E. Kandzari, Nazif AygulLorenzo Azzalini, Bavana V. Rangan, Olga C. Mastrodemos, Yader Sandoval, M. Nicholas Burke, Emmanouil S. Brilakis

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Plaque modification microcatheters (PM) (Tornus [Asahi] and Turnpike Gold [Teleflex]) are devices that are mainly used to modify the cap or lesion and maintain good support in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We evaluated the frequency of use and outcomes of plaque modification microcatheters in an international multicenter registry. Plaque modification microcatheters were utilized in 242 cases (1.6%: Tornus in 51% and Turnpike Gold in 49%) with decreasing frequency over time (P-for-trend: 0.007 and 0.035, respectively). Technical and procedural success and the incidence of major cardiac adverse events were similar with Tornus and Turnpike Gold use. PMs are infrequently utilized in CTO-PCI and are associated with high success and acceptable complication rates.

Original languageEnglish
JournalJournal of Invasive Cardiology
Volume36
Issue number7
DOIs
StatePublished - Jul 2024
Externally publishedYes

Keywords

  • Chronic Total
  • Coronary
  • Intervention
  • Microcatheters
  • Modification
  • Modification
  • Occlusion CTO-PCI
  • Percutaneous
  • Plaque
  • Plaque

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