Percutanous revascularization of chronic total occlusion of diabetic patients at Iraqi center for heart diseases, a single center experience 2012

Research Article                                                                         

Muthanna Medical Journal
Volume 2, Issue 2, December 2015, Pages 76–82
 

Hassan Abdul Amir Al-Daghir1*

*Corresponding Author: Hassan Abdul Amir Al-Daghir: haldaghir@yahoo.com
1Department of Medicine, Al-Hussein teaching hospital, Al-Muthanna Received 22 August 2015; Accepted 12 November 2015; Published 30 December 2015 Copyright © 2015 HA.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

We aimed to evaluate the influence of DM on the results of PCI of patents with CTO and to compare that with the results in non-diabetic patients. Prospectively studied 150 consecutive cases of CTO with PCI at Iraqi center for heart diseases- Baghdad/Iraq for the period January– December 2012. Success of revascularization of chronic total occlusion by percutaneous coronary intervention was similar in both sexes (male 69.4%, female 72.4%). Intervention was successful in (40) out of (55) patients with diabetes mellitus (72.7%) which was identical to those without diabetes mellitus (66 patients out of 95 patients 69.47%). The success in diabetic and non- diabetic groups in the absence of other risk factors was (64.2%) and (62%) while in the presence of these risk factors it was (73.1%) and (71.2 %) respectively. In (11) out of the (15) patients with diabetes failed intervention was attributed to inability to pass the wire (73.3 %) compared to (23) out of the (29) non-diabetic patients (79.3%). While failure to pass the balloon was identical in both groups (13.3%) compared (13.7) and failure to pass a stent while it was not reported compared to (3.4%) in both diabetic and non-diabetic patients respectively. As far as failure of procedure, passing the wire into a false lumen occurred in one patient (6.6%) of diabetic group, while creation of perforation had occurred in one patient (6.6%) in diabetics. Successful revascularization has led to a prompt relieve of symptoms; angina and improved exercise tolerance as well as enhanced left ventricular function equally in both groups. Regarding CTO- PCI, there was no much difference between success in diabetic and non-diabetic.
Keywords: DM, PCI, CTO, HTN, HLP

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