28 results on '"Gorgulu, Sevket"'
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2. Impact of Bifurcation Involvement and Location in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the EuroCTO Registry
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Moroni, Alice, Ayoub, Mohamed, Gorgulu, Sevket, Werner, Gerald S., Kalay, Nihat, Zaczkiewicz, Myron, Wójcik, Jarosław, Goktekin, Omer, Tuner, Hasim, Woitek, Felix, Arenz, Juergen, Gasparini, Gabriele Luigi, Drozd, Jakub, Boudou, Nicolas, Schölzel, Bas E., Diletti, Roberto, Avran, Alexandre, Di Mario, Carlo, Mashayekhi, Kambis, and Agostoni, Pierfrancesco
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- 2024
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3. Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions
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Rafeh, Nidal Abi, Agostoni, Pierfrancesco, Alaswad, Khaldoon, Araya, Mario, Avran, Alexandre, Ayoub, Mohamed, Azzalini, Lorenzo, Babunashvili, Avtandil M., Bayani, Baktash, Behnes, Michael, Bhindi, Ravinay, Boudou, Nicolas, Boukhris, Marouane, Bozinovic, Nenad Z., Bryniarski, Leszek, Bufe, Alexander, Buller, Christopher E., Burke, M. Nicholas, Buettner, Heinz Joachim, Cardoso, Pedro, Carlino, Mauro, Chan, Chi-Kin, Chen, Jiyan, Christiansen, Evald Hoej, Colombo, Antonio, Croce, Kevin, Damas de los Santos, Felix, de Martini, Tony, Dens, Joseph, di Mario, Carlo, Doshi, Darshan, Dou, Kefei, Egred, Mohaned, Elbarouni, Basem, ElGuindy, Ahmed M., Escaned, Javier, Furkalo, Sergey, Gagnor, Andrea, Galassi, Alfredo R., Garbo, Roberto, L.Gasparini, Gabriele, Ge, Junbo, Ge, Lei, Goel, Pravin Kumar, Goktekin, Omer, Gonzalo, Nieves, Gorgulu, Sevket, Grancini, Luca, Hall, Allison B., Hanratty, Colm, Harb, Stefan, Harding, Scott A., Hatem, Raja, Hellig, Farrel, Henriques, Jose P.S., Hildick-Smith, David, Hill, Jonathan M., Hoye, Angela, Jaber, Wissam, Jaffer, Farouc A., Jang, Yangsoo, Jussila, Risto, Kalnins, Artis, Kalra, Sanjog, Kandzari, David E., Kao, Hsien-Li, Karmpaliotis, Dimitri, Kassem, Hussien Heshmat, Kearney, Kathleen E., Kerrigan, Jimmy, Khatri, Jaikirshan, Khelimskii, Dmitri, Kirtane, Ajay J., Knaapen, Paul, Kornowski, Ran, Krestyaninov, Oleg, Kumar, V. Ganesh, Kumar, Prathap, Lamelas, Pablo Manuel, Lee, Seung-Whan, Lefevre, Thierry, Leibundgut, Gregor, Leung, Raymond, Leung, Sum-Kin, Li, Yu, Li, Yue, Lim, Soo-Teik, Lo, Sidney, Lombardi, William, Maran, Anbukarasi, McEntegart, Margaret, Moses, Jeffrey, Munawar, Muhammad, Nagamatsu, Wataru, Navarro, Andres, Ngo, Hung M., Nicholson, William, Oksnes, Anja, Olivecrona, Goran K., Padilla, Lucio, Patel, Mitul, Pershad, Ashish, Postu, Marin, Pyxaras, Stylianos, Qian, Jie, Quadros, Alexandre, Hanna Quesada, Franklin Leonardo, Råmunddal, Truls, Rao, Vithala Suryaprakasa, Rathore, Sudhir, Reifart, Nicolaus, Riley, Robert F., Rinfret, Stephane, Saghatelyan, Meruzhan, Santiago, Ricardo, Seth, Ashok, Sianos, Georgios, Smith, Elliot, Spaedy, Anthony, Spratt, James, Stone, Gregg W., Strange, Julian W., Tammam, Khalid O., Thompson, Craig A., Toma, Aurel, Tremmel, Jennifer A., Ungi, Imre, Vadalà, Giuseppe, Vo, Minh, Vu, Vu Hoang, Walsh, Simon, Weilenmann, Daniel, Werner, Gerald S., Wojcik, Jaroslaw, Wollmuth, Jason, Wu, Chiung-Jen, Xu, Bo, Yamane, Masahisa, Ybarra, Luiz F., Yeh, Robert W., Zambakides, Chris, Zhang, Qi, Wu, Eugene B., Kalyanasundaram, Arun, Brilakis, Emmanouil S., Mashayekhi, Kambis, and Tsuchikane, Etsuo
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- 2024
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4. Emergency coronary artery bypass surgery after chronic total occlusion percutaneous coronary intervention: Insights from the PROGRESS-CTO registry
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Mutlu, Deniz, Rempakos, Athanasios, Alexandrou, Michaella, Al-Ogaili, Ahmed, Gorgulu, Sevket, Choi, James W., Elbarouni, Basem, Khatri, Jaikirshan J., Jaffer, Farouc, Riley, Robert, Smith, A.J. Conrad, Davies, Rhian, Frizzel, Jarrod, Patel, Mitul, Koutouzis, Michalis, Tsiafoutis, Ioannis, Rangan, Bavana V., Mastrodemos, Olga C., Sandoval, Yader, Burke, M. Nicholas, and Brilakis, Emmanouil S.
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- 2024
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5. Comparative Analysis of Polymer Versus Non-Polymer Jacketed Wires in Chronic Total Occlusion Percutaneous Coronary Intervention
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Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Ogaili, Ahmed Al, Choi, James W., Poommipanit, Paul, Alaswad, Khaldoon, Basir, Mir Babar, Davies, Rhian, Benton, Stewart, Jaffer, Farouc A., Chandwaney, Raj H., Kearney, Kathleen E., ElGuindy, Ahmed M., Abi Rafeh, Nidal, Goktekin, Omer, Gorgulu, Sevket, Khatri, Jaikirshan J., Krestyaninov, Oleg, Khelimskii, Dmitrii, Rangan, Bavana V., Mastrodemos, Olga C., Burke, M. Nicholas, Sandoval, Yader, Lombardi, William L., Brilakis, Emmanouil S., and Azzalini, Lorenzo
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- 2024
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6. Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions
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Wu, Eugene B., primary, Kalyanasundaram, Arun, additional, Brilakis, Emmanouil S., additional, Mashayekhi, Kambis, additional, Tsuchikane, Etsuo, additional, Rafeh, Nidal Abi, additional, Agostoni, Pierfrancesco, additional, Alaswad, Khaldoon, additional, Araya, Mario, additional, Avran, Alexandre, additional, Ayoub, Mohamed, additional, Azzalini, Lorenzo, additional, Babunashvili, Avtandil M., additional, Bayani, Baktash, additional, Behnes, Michael, additional, Bhindi, Ravinay, additional, Boudou, Nicolas, additional, Boukhris, Marouane, additional, Bozinovic, Nenad Z., additional, Bryniarski, Leszek, additional, Bufe, Alexander, additional, Buller, Christopher E., additional, Burke, M. Nicholas, additional, Buettner, Heinz Joachim, additional, Cardoso, Pedro, additional, Carlino, Mauro, additional, Chan, Chi-Kin, additional, Chen, Jiyan, additional, Christiansen, Evald Hoej, additional, Colombo, Antonio, additional, Croce, Kevin, additional, Damas de los Santos, Felix, additional, de Martini, Tony, additional, Dens, Joseph, additional, di Mario, Carlo, additional, Doshi, Darshan, additional, Dou, Kefei, additional, Egred, Mohaned, additional, Elbarouni, Basem, additional, ElGuindy, Ahmed M., additional, Escaned, Javier, additional, Furkalo, Sergey, additional, Gagnor, Andrea, additional, Galassi, Alfredo R., additional, Garbo, Roberto, additional, L.Gasparini, Gabriele, additional, Ge, Junbo, additional, Ge, Lei, additional, Goel, Pravin Kumar, additional, Goktekin, Omer, additional, Gonzalo, Nieves, additional, Gorgulu, Sevket, additional, Grancini, Luca, additional, Hall, Allison B., additional, Hanratty, Colm, additional, Harb, Stefan, additional, Harding, Scott A., additional, Hatem, Raja, additional, Hellig, Farrel, additional, Henriques, Jose P.S., additional, Hildick-Smith, David, additional, Hill, Jonathan M., additional, Hoye, Angela, additional, Jaber, Wissam, additional, Jaffer, Farouc A., additional, Jang, Yangsoo, additional, Jussila, Risto, additional, Kalnins, Artis, additional, Kalra, Sanjog, additional, Kandzari, David E., additional, Kao, Hsien-Li, additional, Karmpaliotis, Dimitri, additional, Kassem, Hussien Heshmat, additional, Kearney, Kathleen E., additional, Kerrigan, Jimmy, additional, Khatri, Jaikirshan, additional, Khelimskii, Dmitri, additional, Kirtane, Ajay J., additional, Knaapen, Paul, additional, Kornowski, Ran, additional, Krestyaninov, Oleg, additional, Kumar, V. Ganesh, additional, Kumar, Prathap, additional, Lamelas, Pablo Manuel, additional, Lee, Seung-Whan, additional, Lefevre, Thierry, additional, Leibundgut, Gregor, additional, Leung, Raymond, additional, Leung, Sum-Kin, additional, Li, Yu, additional, Li, Yue, additional, Lim, Soo-Teik, additional, Lo, Sidney, additional, Lombardi, William, additional, Maran, Anbukarasi, additional, McEntegart, Margaret, additional, Moses, Jeffrey, additional, Munawar, Muhammad, additional, Nagamatsu, Wataru, additional, Navarro, Andres, additional, Ngo, Hung M., additional, Nicholson, William, additional, Oksnes, Anja, additional, Olivecrona, Goran K., additional, Padilla, Lucio, additional, Patel, Mitul, additional, Pershad, Ashish, additional, Postu, Marin, additional, Pyxaras, Stylianos, additional, Qian, Jie, additional, Quadros, Alexandre, additional, Hanna Quesada, Franklin Leonardo, additional, Råmunddal, Truls, additional, Rao, Vithala Suryaprakasa, additional, Rathore, Sudhir, additional, Reifart, Nicolaus, additional, Riley, Robert F., additional, Rinfret, Stephane, additional, Saghatelyan, Meruzhan, additional, Santiago, Ricardo, additional, Seth, Ashok, additional, Sianos, Georgios, additional, Smith, Elliot, additional, Spaedy, Anthony, additional, Spratt, James, additional, Stone, Gregg W., additional, Strange, Julian W., additional, Tammam, Khalid O., additional, Thompson, Craig A., additional, Toma, Aurel, additional, Tremmel, Jennifer A., additional, Ungi, Imre, additional, Vadalà, Giuseppe, additional, Vo, Minh, additional, Vu, Vu Hoang, additional, Walsh, Simon, additional, Weilenmann, Daniel, additional, Werner, Gerald S., additional, Wojcik, Jaroslaw, additional, Wollmuth, Jason, additional, Wu, Chiung-Jen, additional, Xu, Bo, additional, Yamane, Masahisa, additional, Ybarra, Luiz F., additional, Yeh, Robert W., additional, Zambakides, Chris, additional, and Zhang, Qi, additional
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- 2024
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7. Validation of the BCIS CHIP Score in chronic total occlusion percutaneous coronary intervention
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Rempakos, Athanasios, primary, Alexandrou, Michaella, additional, Mutlu, Deniz, additional, Choi, James W., additional, Poommipanit, Paul, additional, Khatri, Jaikirshan J., additional, Young, Laura, additional, Jefferson, Brian, additional, Gorgulu, Sevket, additional, Jaffer, Farouc A., additional, Chandwaney, Raj, additional, Davies, Rhian, additional, Benton, Stewart, additional, Alaswad, Khaldoon, additional, Azzalini, Lorenzo, additional, Kearney, Kathleen E., additional, Krestyaninov, Oleg, additional, Khelimskii, Dmitrii, additional, Dattilo, Philip, additional, Reddy, Niranjan, additional, Abi‐Rafeh, Nidal, additional, Elguindy, Ahmed, additional, Goktekin, Omer, additional, Rangan, Bavana V., additional, Mastrodemos, Olga C., additional, Al‐Ogaili, Ahmed, additional, Sandoval, Yader, additional, Burke, Nicholas M., additional, Brilakis, Emmanouil S., additional, and Basir, Mir B., additional
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- 2024
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8. Retrograde chronic total occlusion percutaneous coronary intervention via ipsilateral collaterals.
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Al‐Ogaili, Ahmed, Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Alaswad, Khaldoon, Basir, Mir B., Chandwaney, Raj H., Gorgulu, Sevket, ElGuindy, Ahmed M., Elbarouni, Basem, Jaber, Wissam, Rinfret, Stephane, Nicholson, William, Jaffer, Farouc A., Aygul, Nazif, Azzalini, Lorenzo, and Kearney, Kathleen E.
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- 2024
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9. International survey of chronic total occlusion percutaneous coronary intervention operators.
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Simsek, Bahadir, Rempakos, Athanasios, Kostantinis, Spyridon, Alexandrou, Michaella, Karacsonyi, Judit, Rangan, Bavana V., Mastrodemos, Olga C., Mutlu, Deniz, Abi Rafeh, Nidal, Alaswad, Khaldoon, Avran, Alexandre, Azzalini, Lorenzo, ElGuindy, Ahmed, Egred, Mohaned, Goktekin, Omer, Gorgulu, Sevket, Jaber, Wissam, Kearney, Kathleen E., Kirtane, Ajay J., and Lombardi, William L.
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- 2024
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10. Everolimus-Versus Zotarolimus-Eluting Stents in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights from the PROGRESS-CTO Registry
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Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Al Ogaili, Ahmed, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Ybarra, Luiz F., Jaber, Wissam, Rinfret, Stephane, Nicholson, William, Azzalini, Lorenzo, Kearney, Kathleen E., Gorgulu, Sevket, ElGuindy, Ahmed M., Abi Rafeh, Nidal, Krestyaninov, Oleg, Khelimskii, Dmitrii, Goktekin, Omer, Rangan, Bavana V., Mastrodemos, Olga C., Sandoval, Yader, Burke, M. Nicholas, and Brilakis, Emmanouil S.
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- 2024
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11. IMPACT OF SHEATH SIZE ON THE OUTCOMES OF CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION
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Rempakos, Athanasios, Alexandrou, Michaella, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Davies, Rhian E., Gorgulu, Sevket, Jaffer, Farouc A., Chandwaney, Raj H., Azzalini, Lorenzo, Kearney, Kathleen E., Alaswad, Khaldoon, Basir, Mir Babar, Krestianinov, Oleg, Khelimskii, Dmitrii, Rafeh, Nidal Abi, ElGuindy, Ahmed Mohamed, Goktekin, Omer, Rangan, Bavana V., Mastrodemos, Olga, Al-Ogaili, Ahmed, Sandoval, Yader, Burke, M Nicholas, and Brilakis, Emmanouil S.
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- 2024
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12. PREDICTORS OF SUCCESSFUL PRIMARY ANTEGRADE WIRING IN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION
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Rempakos, Athanasios, Alexandrou, Michaella, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Davies, Rhian E., Gorgulu, Sevket, Jaffer, Farouc A., Chandwaney, Raj H., Azzalini, Lorenzo, Alaswad, Khaldoon, Basir, Mir Babar, Krestianinov, Oleg, Khelimskii, Dmitrii, Rafeh, Nidal Abi, ElGuindy, Ahmed Mohamed, Goktekin, Omer, Rangan, Bavana V., Mastrodemos, Olga, Al-Ogaili, Ahmed, Sandoval, Yader, Burke, M Nicholas, Brilakis, Emmanouil S., and Kalyanasundaram, Arun
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- 2024
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13. PRACTICE PATTERNS OF LOWER VS HIGHER VOLUME CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION OPERATORS
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Simsek, Bahadir, Rempakos, Athanasios, Alexandrou, Michaella, Kostantinis, Spyridon, Rangan, Bavana V., Mutlu, Deniz, Al-Ogaili, Ahmed, Rafeh, Nidal Abi, Alaswad, Khaldoon, Ahmad, Yousif, Azzalini, Lorenzo, Egred, Mohaned, Goktekin, Omer, Gorgulu, Sevket, Jaber, Wissam A., Kearney, Kathleen E., Kirtane, Ajay J., Mashayekhi, Kambis, Khatri, Jaikirshan J., Nicholson, William J., Rinfret, Stéphane, Allana, Salman S., Sandoval, Yader, Burke, M Nicholas, and Brilakis, Emmanouil S.
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- 2024
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14. RETROGRADE CHRONIC TOTAL OCCLUSION INTERVENTIONS VIA IPSILATERAL COLLATERALS
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Al-Ogaili, Ahmed, Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Alaswad, Khaldoon, Basir, Mir Babar, Chandwaney, Raj H., Gorgulu, Sevket, ElGuindy, Ahmed Mohamed, Elbarouni, Basem, Jaber, Wissam A., Rinfret, Stéphane, Nicholson, William J., Jaffer, Farouc A., Aygul, Nazif, Azzalini, Lorenzo, Rangan, Bavana V., Mastrodemos, Olga, Sandoval, Yader, Burke, M Nicholas, and Brilakis, Emmanouil S.
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- 2024
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15. IN HOSPITAL OUTCOMES OF CHRONIC TOTAL OCCLUSION INTERVENTIONS: AN UPDATE FROM THE PROGRESS-CTO (PROSPECTIVE GLOBAL REGISTRY FOR THE STUDY OF CHRONIC TOTAL OCCLUSION INTERVENTION) INTERNATIONAL REGISTRY
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Al-Ogaili, Ahmed, Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Alaswad, Khaldoon, Jaber, Wissam A., Rinfret, Stéphane, Nicholson, William J., Azzalini, Lorenzo, Kearney, Kathleen E., Jaffer, Farouc A., Davies, Rhian E., ElGuindy, Ahmed Mohamed, Rafeh, Nidal Abi, Goktekin, Omer, Gorgulu, Sevket, Rangan, Bavana V., Mastrodemos, Olga, Sandoval, Yader, Burke, M Nicholas, and Brilakis, Emmanouil S.
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- 2024
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16. EMERGENCY CORONARY ARTERY BYPASS SURGERY DURING PERCUTANEOUS CORONARY INTERVENTIONS FOR CHRONIC TOTAL OCCLUSION: INSIGHTS FROM THE PROGRESS-CTO REGISTRY
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Mutlu, Deniz, Rempakos, Athanasios, Alexandrou, Michaella, Al-Ogaili, Ahmed, Gorgulu, Sevket, Choi, James W., Elbarouni, Basem, Khatri, Jaikirshan J., Jaffer, Farouc A., Riley, Robert, Smith, A. J. Conrad, Davies, Rhian E., Rangan, Bavana V., Mastrodemos, Olga, Sandoval, Yader, Burke, M Nicholas, and Brilakis, Emmanouil S.
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- 2024
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17. EQUIPMENT ENTRAPMENT/LOSS IN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION
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Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Al-Ogaili, Ahmed, Choi, James W., Poommipanit, Paul, Alaswad, Khaldoon, Basir, Mir Babar, Davies, Rhian E., Jaffer, Farouc A., Chandwaney, Raj H., Azzalini, Lorenzo, Aygul, Nazif, Dattilo, Philip B., Jefferson, Brian K., Gorgulu, Sevket, Khatri, Jaikirshan J., Krestianinov, Oleg, Frizzell, Jarrod David, Elbarouni, Basem, Rangan, Bavana V., Mastrodemos, Olga, Burke, M Nicholas, Sandoval, Yader, and Brilakis, Emmanouil S.
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- 2024
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18. Chronic total occlusion percutaneous coronary intervention of anomalous coronary arteries: insights from the PROGRESS CTO registry.
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Hirata GM, Rempakos A, Walker Boyd A, Alexandrou M, Mutlu D, Choi JW, Poommipanit P, Khatri JJ, Young L, Davies R, Gorgulu S, Jaffer FA, Chandwaney R, Jefferson B, Elbarouni B, Azzalini L, Kearney KE, Alaswad K, Basir MB, Krestyaninov O, Khelimskii D, Aygul N, Abi-Rafeh N, ElGuindy A, Goktekin O, Rangan BV, Mastrodemos OC, Al-Ogaili A, Sandoval Y, Burke MN, Brilakis ES, and Frizzell JD
- Abstract
Background: There is limited information about the frequency and outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in anomalous coronary arteries (ACA)., Methods: We examined the clinical and angiographic characteristics and procedural outcomes of CTO PCI in ACA among 14,173 patients who underwent 14,470 CTO PCIs at 46 US and non-US centers between 2012 and 2023., Results: Of 14,470 CTO PCIs, 36 (0.24%) were CTO PCIs in an ACA. ACA patients had similar baseline characteristics as those without an ACA. The type of ACA in which the CTO lesion was found were as follows: anomalous origin of the right coronary artery (ARCA) (17, 48.5%), anomalous origin of left circumflex coronary artery (9, 25.7%), left anterior descending artery and left circumflex artery with separate origins (4, 11.4%), anomalous origin of the left anterior descending artery (2, 5.7%), dual left anterior descending artery (2, 5.7%) and woven coronary artery 1 (2.8%). The Japan CTO score was similar between both groups (2.17 ± 1.32 vs 2.38 ± 1.26, p = 0.30). The target CTO in ACA patients was more likely to have moderate/severe tortuosity (44% vs 28%, p = 0.035), required more often use of retrograde approach (27% vs 12%, p = 0.028), and was associated with longer procedure (142.5 min vs 112.00 min [74.0, 164.0], p = 0.028) and fluoroscopy (56 min [40, 79 ml] vs 42 min [25, 67], p = 0.014) time and higher contrast volume (260 ml [190, 450] vs 200 ml [150, 300], p = 0.004) but had similar procedural (91.4% vs 85.6%, p = 0.46) and technical (91.4% vs 87.0%, p = 0.59) success. No major adverse cardiac events (MACE) were seen in ACA patients (0% [0] vs 1.9% [281] in non-ACA patients, p = 1.00). Two coronary perforations were reported in ACA CTO PCI (p = 0.7 vs. non-ACA CTO PCI)., Conclusions: CTO PCI of ACA comprise 0.24% of all CTO PCIs performed in the PROGRESS CTO registry and was associated with higher procedural complexity but similar technical and procedural success rates and similar MACE compared with non-ACA CTO PCI., (© 2024 Wiley Periodicals LLC.)
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- 2024
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19. Ranolazine in chronic total occlusion percutaneous coronary intervention.
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Alexandrou M, Mutlu D, Rempakos A, Al Ogaili A, Choi JW, Poommipanit P, Alaswad K, Basir MB, Davies R, Jaffer FA, Dattilo P, Azzalini L, Aygul N, Reddy N, Jefferson BK, Gorgulu S, Khatri JJ, Young LD, Krestyaninov O, Khelimskii D, Frizzell J, Elbarouni B, Rangan BV, Mastrodemos OC, Burke MN, Sandoval Y, and Brilakis ES
- Subjects
- Humans, Male, Female, Aged, Middle Aged, Chronic Disease, Treatment Outcome, Coronary Angiography, Retrospective Studies, Ranolazine therapeutic use, Percutaneous Coronary Intervention methods, Coronary Occlusion diagnosis, Coronary Occlusion surgery, Registries
- Abstract
Ranolazine is an anti-anginal medication given to patients with chronic angina and persistent symptoms despite medical therapy. We examined 11 491 chronic total occlusion (CTO) percutaneous coronary interventions (PCI) that were performed at 41 US and non-US centers between 2012 and 2023 in the PROGRESS-CTO Registry. Patients on ranolazine at baseline had more comorbidities, more complex lesions, lower procedural and technical success (based on univariable but not multivariable analysis), and higher incidence of major adverse cardiac events (MACE) (on both univariable and multivariable analysis).
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- 2024
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20. Artificial intelligence for predicting primary antegrade wiring success of chronic total occlusion crossing.
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Alexandrou M, Rempakos A, Mutlu D, Strepkos D, Carvalho PEP, Al Ogaili A, Bahbah A, Milkas A, Tsiafoutis I, Alaswad K, Basir MB, Davies R, Jaffer FA, Nicholson W, Azzalini L, Gorgulu S, Khatri JJ, Bangalore S, Rangan BV, Mastrodemos OC, Burke MN, Sandoval Y, and Brilakis ES
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- 2024
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21. Geographic diversity in chronic total occlusion percutaneous coronary intervention: insights from the PROGRESS-CTO registry.
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Alexandrou M, Rempakos A, Mutlu D, Al Ogaili A, Choi JW, Poommipanit P, Alaswad K, Basir MB, Davies R, Jaffer FA, Chandwaney RH, Azzalini L, Aygul N, ElGuindy AM, Jefferson BK, Gorgulu S, Khatri JJ, Krestyaninov O, Khelimskii D, Frizzell J, Elbarouni B, Goktekin O, McEntegart MB, Rangan BV, Mastrodemos OC, Burke MN, Sandoval Y, and Brilakis ES
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- Humans, Male, Female, Chronic Disease, Aged, Middle Aged, Coronary Angiography methods, Treatment Outcome, Coronary Vessels diagnostic imaging, Coronary Vessels surgery, North America epidemiology, Coronary Occlusion diagnosis, Coronary Occlusion surgery, Coronary Occlusion epidemiology, Percutaneous Coronary Intervention methods, Registries
- Abstract
Background: There is variability in clinical and lesion characteristics as well as techniques in chronic total occlusion (CTO) percutaneous coronary intervention (PCI)., Methods: We analyzed patient and lesion characteristics, techniques, and outcomes in 11 503 CTO-PCI procedures performed in North America (NA) and in the combined regions of Europe, Asia, and Africa from 2017 to 2023 as documented in the PROGRESS-CTO registry., Results: Eight thousand four hundred seventy-nine (74%) procedures were performed in NA. Compared with non-NA patients, NA patients were older, with higher body mass index and higher prevalence of diabetes, hypertension, dyslipidemia, family history of coronary artery disease, prior history of PCI, coronary artery bypass graft surgery and heart failure, cerebrovascular disease, and peripheral arterial disease. Their CTOs were more complex, with higher J-CTO (2.56 ± 1.22 vs 1.81 ± 1.24; P less than .001) and PROGRESS-CTO (1.29 ± 1.01 vs 1.07 ± 0.95; P less than .001) scores, longer length, and higher prevalence of proximal cap ambiguity, blunt/no stump, moderate to severe calcification, and proximal tortuosity. Retrograde (31.0% vs 22.1%; P less than .001) and antegrade dissection and re-entry (ADR) (21.2% vs 9.2%; P less than .001) were more commonly used in NA centers, along with intravascular ultrasound (69.0% vs 10.1%; P less than .001). Procedure and fluoroscopy times were longer in NA, while contrast volume and radiation dose were lower. Technical (86.7% vs 86.8%; P > .90) and procedural (85.4% vs 85.8%; P = .70) success and in-hospital major adverse cardiovascular events (MACE) (1.9% vs 1.7%; P = .40) were similar in NA and non-NA centers., Conclusions: Compared with non-NA patients, NA patients undergoing CTO PCI have more comorbidities, higher CTO lesion complexity, are more likely to undergo treatment with retrograde and ADR, and have similar technical success and MACE.
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- 2024
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22. Peripheral artery disease in chronic total occlusion percutaneous coronary intervention.
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Alexandrou M, Rempakos A, Mutlu D, Al Ogaili A, Carvalho PEP, Strepkos D, Choi JW, Poommipanit P, Alaswad K, Basir MB, Davies R, Jaffer FA, Dattilo P, Doing AH, Azzalini L, Aygul N, Chandwaney RH, Jefferson BK, Gorgulu S, Khatri JJ, Young LD, Krestyaninov O, Khelimskii D, Frizzell J, Goktekin O, Flaherty JD, Schimmel DR, Benzuly KH, Uluganyan M, Ozdemir R, Ahmad Y, Rangan BV, Mastrodemos OC, Burke MN, Voudris K, Sandoval Y, and Brilakis ES
- Abstract
Background: The impact of peripheral artery disease (PAD) on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is not well studied., Methods: We analyzed the association of PAD with CTO-PCI outcomes using data from the PROGRESS-CTO registry of procedures performed at 47 centers between 2012 and 2023., Results: The prevalence of PAD among 12 961 patients who underwent CTO PCI during the study period was 13.9% (1802). PAD patients were older, more likely to be current smokers, and had higher rates of dyslipidemia, diabetes, cerebrovascular disease, hypertension, prior myocardial infarction, PCI, and coronary artery bypass graft surgery. Their PROGRESS-CTO (1.35 vs 1.22; P < .001) and J-CTO (2.63 vs 2.33; P < .001) scores were higher, lesion length was longer, and angiographic characteristics were more complex. Their access site was more likely to be bifemoral (33.6% vs 30.9%; P = .024) compared with patients with no PAD. Technical (82.9% vs 87.7%; P < .001) and procedural (80.5% vs 86.6%; P < .001) success rates were lower in patients with PAD, while the incidence of major adverse cardiovascular events (MACE) was higher (3.1% vs 1.8%; P < .001), with higher mortality (0.8% vs 0.4%; P = .034), acute myocardial infarction rate (0.9% vs 0.4%; P = .010), and perforations rate (6.6% vs 4.5%; P < .001). In multivariable analysis, PAD was associated with higher MACE (odds ratio [OR]: 1.53; 95% CI, 1.01-2.26; P = .038) and lower technical success (OR: 0.82; 95% CI, 0.69-0.99; P = .039)., Conclusions: PAD patients undergoing CTO PCI have higher comorbidity burden, more complex CTOs, higher MACE, and lower technical success.
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- 2024
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23. Predictors of successful primary antegrade wiring in chronic total occlusion percutaneous coronary intervention.
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Rempakos A, Alexandrou M, Mutlu D, Choi JW, Poommipanit P, Khatri JJ, Young L, Dattilo P, Sadek Y, Davies R, Gorgulu S, Jaffer FA, Chandwaney R, Jefferson B, Elbarouni B, Azzalini L, Kearney KE, Alaswad K, Basir MB, Krestyaninov O, Khelimskii D, Aygul N, Abi-Rafeh N, Elguindy A, Goktekin O, Rangan BV, Mastrodemos OC, Al-Ogaili A, Sandoval Y, Burke MN, Brilakis ES, and Kalyanasundaram A
- Subjects
- Humans, Male, Female, Middle Aged, Aged, Chronic Disease, Treatment Outcome, Prospective Studies, Follow-Up Studies, Coronary Occlusion surgery, Coronary Occlusion diagnosis, Percutaneous Coronary Intervention methods, Coronary Angiography methods, Registries, Coronary Vessels diagnostic imaging, Coronary Vessels surgery
- Abstract
Background: Antegrade wiring is the most commonly used chronic total occlusion (CTO) crossing technique., Methods: Using data from the PROGRESS CTO registry (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention; Clinicaltrials.gov identifier: NCT02061436), we examined the clinical and angiographic characteristics and procedural outcomes of CTO percutaneous coronary interventions (PCIs) performed using a primary antegrade wiring strategy., Results: Of the 13 563 CTO PCIs performed at 46 centers between 2012 and 2023, a primary antegrade wiring strategy was used in 11 332 (83.6%). Upon multivariable logistic regression analysis, proximal cap ambiguity (odds ratio [OR]: 0.52; 95% CI, 0.46-0.59), side branch at the proximal cap (OR: 0.85; 95% CI, 0.77-0.95), blunt/no stump (OR: 0.52; 95% CI: 0.47-0.59), increasing lesion length (OR [per 10 mm increase]: 0.79; 95% CI, 0.76-0.81), moderate to severe calcification (OR: 0.73; 95% CI, 0.66-0.81), moderate to severe proximal tortuosity (OR: 0.67; 95% CI, 0.59-0.75), bifurcation at the distal cap (OR: 0.66; 95% CI, 0.59-0.73), left anterior descending artery CTO (OR [vs right coronary artery]: 1.44; 95% CI, 1.28-1.62) and left circumflex CTO (OR [vs right coronary artery]: 1.22; 95% CI, 1.07-1.40), non-in-stent restenosis lesion (OR: 0.56; 95% CI, 0.49-0.65), and good distal landing zone (OR: 1.18; 95% CI, 1.06-1.32) were independently associated with primary antegrade wiring crossing success., Conclusions: The use of antegrade wiring as the initial strategy was high (83.6%) in our registry. We identified several parameters associated with primary antegrade wiring success.
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- 2024
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24. Validation of the J-Channel Score for retrograde channel crossing in the PROGRESS-CTO registry.
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Mutlu D, Rempakos A, Alexandrou M, Al-Ogaili A, Khatri JJ, Alaswad K, Gorgulu S, Sandoval Y, Burke MN, and Brilakis ES
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- Humans, Male, Female, Aged, Middle Aged, Prospective Studies, Coronary Vessels diagnostic imaging, Coronary Vessels surgery, Treatment Outcome, Collateral Circulation physiology, Japan, Chronic Disease, Registries, Coronary Occlusion diagnosis, Coronary Occlusion surgery, Percutaneous Coronary Intervention methods, Coronary Angiography
- Abstract
Successful collateral channel (CC) crossing is essential for the success of retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Based on the Japanese CTO PCI expert registry, the J-Channel score was developed to predict CC crossing. We examined the performance of the J-Channel score in patients who underwent retrograde CTO-PCI at 31 centers between 2013-2023 as part of the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO). We observed an association between successful CC crossing and the J-Channel score, its predictive efficacy was modest for both wire and microcatheter crossing.
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- 2024
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25. Equipment entrapment/loss during chronic total occlusion percutaneous coronary intervention.
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Alexandrou M, Rempakos A, Mutlu D, Al Ogaili A, Choi JW, Poommipanit P, Alaswad K, Basir MB, Davies R, Jaffer FA, Chandwaney RH, Azzalini L, Aygul N, Dattilo P, Jefferson BK, Gorgulu S, Khatri JJ, Krestyaninov O, Frizzell J, Elbarouni B, Rangan BV, Mastrodemos O, Burke MN, Sandoval Y, and Brilakis ES
- Subjects
- Humans, Treatment Outcome, Risk Factors, Coronary Angiography methods, Registries, Chronic Disease, Percutaneous Coronary Intervention adverse effects, Percutaneous Coronary Intervention methods, Coronary Occlusion diagnosis, Coronary Occlusion surgery, Coronary Occlusion etiology
- Abstract
Background: There is limited data on equipment loss or entrapment during chronic total occlusion (CTO) percutaneous coronary intervention (PCI)., Methods: We analyzed the baseline clinical and angiographic characteristics and outcomes of equipment loss/entrapment at 43 US and non-US centers between 2017 and 2023., Results: Equipment loss/entrapment was reported in 40 (0.4%) of 10 719 cases during the study period. These included guidewire entrapment/fracture (n = 21), microcatheter entrapment/fracture (n = 11), stent loss (n = 8) and balloon entrapment/fracture/rupture (n = 5). The equipment loss/entrapment cases were more likely to have moderate to severe calcification, longer lesion length, higher J-CTO and PROGRESS-CTO complications scores, and use of the retrograde approach compared with the remaining cases. Retrieval was attempted in 71.4% of the guidewire, 90.9% of the microcatheter, 100% of the stent loss, and 100% of the balloon cases, and was successful in 26.7%, 30.0%, 50%, and 40% of the cases, respectively. Procedures complicated by equipment loss/entrapment had higher procedure and fluoroscopy time, contrast volume and patient air kerma radiation dose, lower procedural (60.0% vs 85.6%, P less than .001) and technical (75.0% vs 86.8%, P = .05) success, and higher incidence of major adverse cardiac events (MACE) (17.5% vs 1.8%, P less than .001), acute MI (7.5% vs 0.4%, P less than .001), emergency coronary artery bypass graft (CABG) (2.5% vs 0.1%, P = .03), perforation (20.0% vs 4.9%, P less than .001), and death (7.5% vs 0.4%, P less than .001)., Conclusions: Equipment loss is a rare complication of CTO PCI; it is more common in complex CTOs and is associated with lower technical success and higher MACE.
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- 2024
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26. Update on chronic total occlusion percutaneous coronary intervention.
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Mutlu D, Rempakos A, Alexandrou M, Al-Ogaili A, Yamane M, Alaswad K, Basir M, Davies R, Choi J, Gagnor A, Garbo R, Goktekin O, Gorgulu S, Khatri JJ, Nicholson W, Rinfret S, Jaber W, Egred M, Milkas A, Di Mario C, Mashayekhi K, Sandoval Y, Burke MN, and Brilakis ES
- Subjects
- Humans, Percutaneous Coronary Intervention adverse effects, Vascular Diseases
- Abstract
Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) continues to evolve. This review summarizes recent publications categorized by outcomes, techniques, complications, and ongoing studies in this rapidly growing area.
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- 2024
- Full Text
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27. Racial disparities in chronic total occlusion percutaneous coronary interventions: insights from the PROGRESS-CTO registry.
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Allana SS, Rempakos A, Alexandrou M, Mutlu D, Alaswad K, Azzalini L, Kearney K, Krestyaninov O, Khelimskii D, Gorgulu S, Chandwaney R, Jaffer FA, Khatri JJ, Davies R, Benton S, Choi JW, Karmpaliotis D, Poommipanit P, Nicholson W, Jaber W, Rinfret S, Frizzell J, Patel T, Jefferson B, Aygul N, Goktekin O, ElGuindy A, Abi-Rafeh N, Rangan BV, Murad B, Burke MN, Sandoval Y, and Brilakis ES
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- Humans, Heart, Registries, Percutaneous Coronary Intervention adverse effects, Myocardial Infarction, Stroke
- Abstract
Objectives: There is limited data on race and outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The authors sought to evaluate CTO PCI techniques and outcomes in different racial groups., Methods: We examined the baseline characteristics and procedural outcomes of 11 806 CTO PCIs performed at 44 US and non-US centers between 2012 and March 2023. In-hospital major adverse cardiac events (MACE) included death, myocardial infarction, repeat target-vessel revascularization, pericardiocentesis, cardiac surgery, and stroke prior to discharge., Results: The most common racial group was White (84.5%), followed by Black (5.7%), "Other" (3.9%), Hispanic (2.9%), Asian (2.4%), and Native American (0.7%). There were significant differences in the baseline characteristics between different racial groups. When compared with non-White patients, the retrograde approach and antegrade dissection re-entry were more likely to be the successful crossing strategies in White patients without any significant differences in technical success (86.4% vs 86.4%; P = .93), procedural success (84.8% vs 85.0%; P = .79), and in-hospital MACE (2.0% vs 1.5%; P = .15) between the 2 groups. The technical success rate was significantly higher in the "Other" racial group (91.0% vs 86.4% in White, 86.9% in Asian, 84.5% in Black, 84.5% in Hispanic, and 83.3% in Native American; P = .03) without any significant differences in procedural success or in-hospital MACE rates between the groups., Conclusions: Despite differences in baseline characteristics and procedural techniques, the procedural success and in-hospital MACE of CTO PCI were not significantly different between most racial groups.
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- 2024
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28. Contemporary outcomes of chronic total occlusion percutaneous coronary intervention in Europe: the ERCTO registry.
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Vadalà G, Galassi AR, Werner GS, Sianos G, Boudou N, Garbo R, Maniscalco L, Bufe A, Avran A, Gasparini GL, La Scala E, Ladwiniec A, Saghatelyan M, Goktekin O, Gorgulu S, Reifart N, Agostoni P, Rathore S, Ayoub M, Behnes M, Atmowihardjo I, Iannaccone M, Diletti R, Di Mario C, Mashayekhi K, and Euro Cto Investigators OBOT
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- Humans, Treatment Outcome, Coronary Angiography, Risk Factors, Europe, Registries, Chronic Disease, Percutaneous Coronary Intervention adverse effects, Coronary Occlusion surgery, Coronary Occlusion etiology
- Abstract
Background: Percutaneous coronary interventions (PCI) of chronic total occlusions (CTO) have reached high procedural success rates thanks to dedicated equipment, evolving techniques, and worldwide adoption of state-of-the-art crossing algorithms., Aims: We report the contemporary results of CTO PCIs performed by a large European community of experienced interventionalists. Furthermore, we investigated the impact of different risk factors for procedural major adverse cardiac and cerebrovascular events (MACCE) and trends of employment of specific devices like dual lumen microcatheters, guiding catheter extensions, intravascular ultrasound and calcium-modifying tools., Methods: We evaluated data from 8,673 CTO PCIs included in the European Registry of Chronic Total Occlusion (ERCTO) between January 2021 and October 2022., Results: The overall technical success rate was 89.1% and was higher in antegrade as compared with retrograde cases (92.8% vs 79.3%; p<0.001). Compared with antegrade procedures, retrograde procedures had a higher complexity of attempted lesions (Japanese CTO [J-CTO] score: 3.0±1.0 vs 1.9±1.2; p<0.001), a higher procedural and in-hospital MACCE rate (3.1% vs 1.2%; p<0.018) and a higher perforation rate with and without tamponade (1.5% vs 0.4% and 8.3% vs 2.1%, respectively; p<0.001). As compared with mid-volume operators, high-volume operators had a higher technical success rate in antegrade and retrograde procedures (93.4% vs 91.2% and 81.5% vs 69.0%, respectively; p<0.001), and had a lower MACCE rate (1.47% vs 2.41%; p<0.001) despite a higher mean complexity of the attempted lesions (J-CTO score: 2.42±1.28 vs 2.15±1.27; p<0.001)., Conclusions: The adoption of different recanalisation techniques, operator experience and the use of specific devices have contributed to a high procedural success rate despite the high complexity of the lesions documented in the ERCTO.
- Published
- 2024
- Full Text
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