title: [Clinical, angiographical, and procedural causes of acute vessel closure during transluminal coronary intervention].
abstract: OBJECTIVE
  To elucidate factors related to acute vessel closure (AVC) after transluminal coronary intervention.
  
  
  METHODS
  From population of 10439 patients subjected to transluminal coronary intervention 2 groups were formed: with (n=885) and without (n=885) acute vessel closure (AVC). Twenty five clinical, angiographical and procedural characteristics of patients of these 2 groups were included into mono and multifactorial logistic regression analysis.
  
  
  CONCLUSIONS
  The following factors were univariate predictors of acute vessel closure: smoking [odds ratio (OR) 1.42], unstable angina (OR=2.130, acute myocardial infarction within previous 24 hours (OR 2.76), cardiogenic shock (OR 4.31), urgent procedure (OR 1.94), eccentric stenosis (OR 1.67), calcified lesion (OR 2.21), preexisting thrombosis (OR 3.79), lacerated complicated stenosis (OR 2.02), tortuous lesion (OR 1.35), low operator experience (OR 3.37), balloon angioplasty as sole procedure (OR 1.66), concomitant rheolytic thrombectomy (OR 1.95), urgent stenting (OR 1.45). Elective stenting significantly lowered risk of acute vessel thrombosis. Multifactorial step-up analysis selected the following independent predictors of AVC: smoking, acute myocardial infarction within previous 24 hours, cardiogenic shock, preexisting thrombosis, lacerated complicated stenosis, and concomitant rheolytic thrombus extraction. Thus only elective stenting significantly reduced risk of AVC.
authors.affiliation: Presidential Medical Center of Russia; ul. Marshala Timoschenko 15, 121356 Moscow, Russia; Sani Konukoglu Medical Center, Gaziantep, Turkey; Yuzuncu Yil University, Van, Turkey; Regional Clinical Hospital, Voronezh, Russia.
authors.forename: T A
authors.initials: TA
authors.lastname: Batyraliev
authors.forename: I V
authors.initials: IV
authors.lastname: Pershukov
authors.forename: Z A
authors.initials: ZA
authors.lastname: Niiazova-Karben
authors.forename: O
authors.initials: O
authors.lastname: Dogru
authors.forename: M S
authors.initials: MS
authors.lastname: Ol'shanskiĭ
authors.forename: N
authors.initials: N
authors.lastname: Giuler
authors.forename: B
authors.initials: B
authors.lastname: Erĭonuchu
authors.forename: O
authors.initials: O
authors.lastname: Demirbash
authors.forename: A V
authors.initials: AV
authors.lastname: Gaĭdukov
authors.forename: M K
authors.initials: MK
authors.lastname: Peresypko
authors.forename: L N
authors.initials: LN
authors.lastname: Petrakova
authors.forename: D V
authors.initials: DV
authors.lastname: Preobrazhenskiĭ
authors.forename: B A
authors.initials: BA
authors.lastname: Sidorenko
mesh_terms: D000789:Angina, Unstable; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003331:Coronary Vessels; D006801:Humans; D015607:Stents