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1. Angiographic Features and Clinical Outcomes of Balloon Uncrossable Lesions during Chronic Total Occlusion Percutaneous Coronary Intervention

Author

Karacsonyi, Judit, Kostantinis, Spyridon, Simsek, Bahadir, Rempakos, Athanasios, Allana, Salman S, Alaswad, Khaldoon, Krestyaninov, Oleg, Khatri, Jaikirshan, Poommipanit, Paul, Jaffer, Farouc A, Choi, James, Patel, Mitul, Gorgulu, Sevket, Koutouzis, Michalis, Tsiafoutis, Ioannis, Sheikh, Abdul M, ElGuindy, Ahmed, Elbarouni, Basem, Patel, Taral, Jefferson, Brian, Wollmuth, Jason R, Yeh, Robert, Karmpaliotis, Dimitrios, Kirtane, Ajay J, McEntegart, Margaret B, Masoumi, Amirali, Davies, Rhian, Rangan, Bavana V, Mastrodemos, Olga C, Doshi, Darshan, Sandoval, Yader, Basir, Mir B, Megaly, Michael S, Ungi, Imre, Rafeh, Nidal Abi, Goktekin, Omer, and Brilakis, Emmanouil S

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Atherosclerosis, Cardiovascular, Heart Disease - Coronary Heart Disease, Heart Disease, percutaneous coronary intervention, chronic total occlusion, balloon uncrossable, Medical biochemistry and metabolomics, Medical biotechnology, Pharmacology and pharmaceutical sciences
Abstract

Background: Balloon uncrossable lesions are defined as lesions that cannot be crossed with a balloon after successful guidewire crossing. Methods: We analyzed the association between balloon uncrossable lesions and procedural outcomes of 8671 chronic total occlusions (CTOs) percutaneous coronary interventions (PCIs) performed between 2012 and 2022 at 41 centers. Results: The prevalence of balloon uncrossable lesions was 9.2%. The mean patient age was 64.2 ± 10 years and 80% were men. Patients with balloon uncrossable lesions were older (67.3 ± 9 vs. 63.9 ± 10, p < 0.001) and more likely to have prior coronary artery bypass graft surgery (40% vs. 25%, p < 0.001) and diabetes mellitus (50% vs. 42%, p < 0.001) compared with patients who had balloon crossable lesions. In-stent restenosis (23% vs. 16%. p < 0.001), moderate/severe calcification (68% vs. 40%, p < 0.001), and moderate/severe proximal vessel tortuosity (36% vs. 25%, p < 0.001) were more common in balloon uncrossable lesions. Procedure time (132 (90, 197) vs. 109 (71, 160) min, p < 0.001) was longer and the air kerma radiation dose (2.55 (1.41, 4.23) vs. 1.97 (1.10, 3.40) min, p < 0.001) was higher in balloon uncrossable lesions, while these lesions displayed lower technical (91% vs. 99%, p < 0.001) and procedural (88% vs. 96%, p < 0.001) success rates and higher major adverse cardiac event (MACE) rates (3.14% vs. 1.49%, p < 0.001). Several techniques were required for balloon uncrossable lesions. Conclusion: In a contemporary, multicenter registry, 9.2% of the successfully crossed CTOs were initially balloon uncrossable. Balloon uncrossable lesions exhibited lower technical and procedural success rates and a higher risk of complications compared with balloon crossable lesions.

Published
2023

2. Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

Author

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

Published
2024
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4. Development of a Novel Score to Predict Urgent Mechanical Circulatory Support in Chronic Total Occlusion Percutaneous Coronary Intervention

Author

Karacsonyi, Judit, Stanberry, Larissa, Simsek, Bahadir, Kostantinis, Spyridon, Allana, Salman S., Rempakos, Athanasios, Okeson, Brynn, Alaswad, Khaldoon, Basir, Mir B., Jaffer, Farouc, Poommipanit, Paul, Khatri, Jaikirshan, Patel, Mitul, Mahmud, Ehtisham, Sheikh, Abdul, Wollmuth, Jason R., Yeh, Robert W., Chandwaney, Raj H., ElGuindy, Ahmed M., Abi Rafeh, Nidal, Schimmel, Daniel R., Benzuly, Keith, Burke, M. Nicholas, Rangan, Bavana V., Mastrodemos, Olga C., Sandoval, Yader, Ungi, Imre, and Brilakis, Emmanouil S.

Published
2023
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6. List of contributors

Author

Abi Rafeh, Nidal, primary, Agostoni, Pierfrancesco, additional, Akyuz, Sukru, additional, Alaswad, Khaldoon, additional, Ali, Ziad A., additional, Allana, Salman S., additional, Alraies, Chadi, additional, Araya, Mario, additional, Avran, Alexandre, additional, Azzalini, Lorenzo, additional, Babunashvili, Avtandil, additional, Banerjee, Subhash, additional, Bangalore, Sripal, additional, Bayani, Baktash, additional, Behnes, Michael, additional, Bhindi, Ravinay, additional, Boudou, Nicolas, additional, Božinović, Nenad Ž., additional, Bryniarski, Leszek, additional, Bufe, Alexander, additional, Buller, Christopher E., additional, Burke, M. Nicholas, additional, Cardoso, Pedro Pinto, additional, Carlino, Mauro, additional, Cavalcante, Joao L., additional, Chami, Tarek, additional, Chandwaney, Raj H., additional, Charitakis, Konstantinos, additional, Cheng, Victor Y., additional, Choi, James W., additional, Christiansen, Evald Høj, additional, Chugh, Yashasvi, additional, Colombo, Antonio, additional, Cosgrove, Claudia, additional, Croce, Kevin, additional, Daggubati, Ramesh, additional, Damas de los Santos, Félix, additional, Dautov, Rustem, additional, Davies, Rhian E., additional, de Martini, Tony, additional, Denktas, Ali E., additional, Dens, Joseph, additional, di Mario, Carlo, additional, Diletti, Roberto, additional, Dimitriadis, Zisis, additional, Doshi, Darshan, additional, Doshi, Parag, additional, Dou, Kefei, additional, Egred, Mohaned, additional, Elbarouni, Basem, additional, ElGuindy, Ahmed M., additional, Elhadidy, Amr, additional, Ellis, Stephen, additional, Escaned, Javier, additional, Fasseas, Panayotis, additional, Forouzandeh, Farshad, additional, Furkalo, Sergey, additional, Gagnor, Andrea, additional, Galassi, Alfredo R., additional, Gallino, Robert, additional, Garbo, Roberto, additional, Garcia, Santiago, additional, 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, Grantham, J. Aaron, additional, Guddeti, Raviteja, additional, Haddad, Elias V., additional, Hall, Allison B., additional, Hall, Jack J., additional, Halligan, Sean, additional, Hanna Quesada, Franklin Leonardo, additional, Hanratty, Colm, additional, Harb, Stefan, additional, Harding, Scott A., additional, Hatem, Raja, additional, Hildick-Smith, David, additional, Hill, Jonathan M., additional, Hirai, Taishi, additional, Iannaccone, Mario, additional, Jaber, Wissam, additional, Jaffer, Farouc A., additional, Jang, Yangsoo, additional, Jefferson, Brian K., additional, Jeremias, Allen, additional, Jussila, Risto, additional, Kakouros, Nikolaos, additional, Kalnins, Artis, additional, Kalra, Sanjog, additional, Kalyanasundaram, Arun, additional, Kandzari, David E., additional, Kao, Hsien-Li, additional, Karacsonyi, Judit, additional, Karmpaliotis, Dimitri, additional, Kassem, Hussien Heshmat, additional, Kearney, Kathleen, additional, Kerrigan, Jimmy, additional, Khatri, Jaikirshan, additional, Khelimskii, Dmitrii, additional, Kirtane, Ajay J., additional, Knaapen, Paul, additional, Kostantinis, Spyridon, additional, Koutouzis, Michalis, additional, Kovacic, Mihajlo, additional, Krestyaninov, Oleg, additional, Kumar, A.V. Ganesh, additional, Kumar N., Prathap, additional, Kunkel, Katherine J., additional, Lamelas, Pablo Manuel, additional, Lee, Seung-Whan, additional, Lefevre, Thierry, additional, Leibundgut, Gregor, additional, Lembo, Nicholas J., additional, Leon, Martin, additional, Lesser, John R., additional, Leung, Raymond, additional, Lim, Soo-Teik, additional, Lo, Sidney Tsz Ho, additional, Lombardi, William, additional, Luna, Michael, additional, Mahmud, Ehtisham, additional, Mahowald, Madeline K., additional, Maran, Anbukarasi, additional, Marmagkiolis, Konstantinos, additional, Martins Filho, Evandro, additional, Mashayekhi, Kambis, additional, McEntegart, Margaret B., additional, Megaly, Michael, additional, Meraj, Perwaiz, additional, Michalis, Lampros, additional, Milkas, Anastasios N., additional, Mogabgab, Owen, additional, Moses, Jeffrey, additional, Munawar, Muhammad, additional, Murad, Bilal, additional, Nap, Alexander, additional, Navarro, Andres, additional, Nicholson, William J., additional, Øksnes, Anja, additional, Olivecrona, Göran, additional, Omer, Mohamed A., additional, Oreglia, Jacopo Andrea, additional, Padilla, Lucio, additional, Patel, Mitul P., additional, Patel, Rajan A.G., additional, Patel, Taral, additional, Pershad, Ashish, additional, Pinto, Duane, additional, Poommipanit, Paul, additional, Postu, Marin, additional, Potluri, Srini, additional, Pyxaras, Stylianos, additional, Quadros, Alexandre Schaan de, additional, Ragosta, Michael, additional, Rao, Sunil V., additional, Rao, Vithala Surya Prakasa, additional, Rathore, Sudhir, additional, Reifart, Joerg, additional, Rempakos, Athanasios, additional, Rier, Jeremy, additional, Riley, Robert, additional, Rinfret, Stéphane, additional, Russo, Juan J., additional, Saghatelyan, Meruzhan, additional, Sandhu, Gurpreet S., additional, Sandoval, Yader, additional, Santiago, Ricardo, additional, Sapontis, James, additional, Shah, Alpesh, additional, Shlofmitz, Evan, additional, Shunk, Kendrick A., additional, Sianos, George, additional, Simsek, Bahadir, additional, Smith, Elliot J., additional, Spaedy, Anthony, additional, Spratt, James, additional, Strange, Julian W., additional, Strauss, Bradley, additional, Tajti, Péter, additional, Tamez, Hector, additional, Tammam, Khalid O., additional, Thompson, Craig A., additional, Toma, Aurel, additional, Toma, Catalin, additional, Tsiafoutis, Ioannis, additional, Tsuchikane, Etsuo, additional, Ungi, Imre, additional, Uretsky, Barry F., additional, Vlachojannis, Georgios J., additional, Vo, Minh Nhat, additional, Vu, Hoang Vu, additional, Walsh, Simon, additional, Weilenmann, Daniel, additional, Werner, Gerald, additional, Wójcik, Jarosław, additional, Wollmuth, Jason, additional, Wu, Eugene B., additional, Wyman, R. Michael, additional, Xenogiannis, Iosif, additional, Xu, Bo, additional, Yamane, Masahisa, additional, Ybarra, Luiz F., additional, and Yeh, Robert W., additional

Published
2023
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7. Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

Author

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

Published
2024
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9. Global Chronic Total Occlusion Crossing Algorithm: JACC State-of-the-Art Review

Author

Wu, Eugene B., Brilakis, Emmanouil S., Mashayekhi, Kambis, Tsuchikane, Etsuo, Alaswad, Khaldoon, Araya, Mario, Avran, Alexandre, 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, Buttner, Achim, Cardoso, Pedro, Carlino, Mauro, Chen, Ji-Yan, Christiansen, Evald Hoej, Colombo, Antonio, Croce, Kevin, de los Santos, Felix Damas, de Martini, Tony, Dens, Joseph, di Mario, Carlo, Dou, Kefei, Egred, Mohaned, Elbarouni, Basem, ElGuindy, Ahmed M., Escaned, Javier, Furkalo, Sergey, Gagnor, Andrea, Galassi, Alfredo R., Garbo, Roberto, Gasparini, Gabriele, Ge, Junbo, Ge, Lei, Goel, Pravin Kumar, Goktekin, Omer, Gonzalo, Nieves, Grancini, Luca, Hall, Allison, Hanna Quesada, Franklin Leonardo, Hanratty, Colm, Harb, Stefan, Harding, Scott A., Hatem, Raja, Henriques, Jose P.S., Hildick-Smith, David, Hill, Jonathan M., Hoye, Angela, Jaber, Wissam, Jaffer, Farouc A., Jang, Yangsoo, Jussila, Risto, Kalnins, Artis, Kalyanasundaram, Arun, Kandzari, David E., Kao, Hsien-Li, Karmpaliotis, Dimitri, Kassem, Hussien Heshmat, Khatri, Jaikirshan, Knaapen, Paul, Kornowski, Ran, Krestyaninov, Oleg, Kumar, A.V. Ganesh, Lamelas, Pablo Manuel, Lee, Seung-Whan, Lefevre, Thierry, Leung, Raymond, Li, Yu, Li, Yue, Lim, Soo-Teik, Lo, Sidney, Lombardi, William, Maran, Anbukarasi, McEntegart, Margaret, Moses, Jeffrey, Munawar, Muhammad, Navarro, Andres, Ngo, Hung M., Nicholson, William, Oksnes, Anja, Olivecrona, Goran K., Padilla, Lucio, Patel, Mitul, Pershad, Ashish, Postu, Marin, Qian, Jie, Quadros, Alexandre, Rafeh, Nidal Abi, Råmunddal, Truls, Prakasa Rao, Vithala Surya, Reifart, Nicolaus, Riley, Robert F., Rinfret, Stephane, Saghatelyan, Meruzhan, Sianos, George, Smith, Elliot, Spaedy, Anthony, Spratt, James, Stone, Gregg, Strange, Julian W., Tammam, Khalid O., Thompson, Craig A., Toma, Aurel, Tremmel, Jennifer A., Trinidad, Ricardo Santiago, Ungi, Imre, Vo, Minh, Vu, Vu Hoang, Walsh, Simon, Werner, Gerald, Wojcik, Jaroslaw, Wollmuth, Jason, Xu, Bo, Yamane, Masahisa, Ybarra, Luiz F., Yeh, Robert W., and Zhang, Qi

Published
2021
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10. List of contributors

Author

Abbott, J. Dawn, primary, Abi Rafeh, Nidal, additional, Abu Fadel, Mazen, additional, Agostoni, Pierfrancesco, additional, Akyuz, Sukru, additional, Alaswad, Khaldoon, additional, Alexopoulos, Dimitrios, additional, Angiolillo, Dominick J., additional, Aronow, Herbert D., additional, Avran, Alexandre, additional, Azzalini, Lorenzo, additional, Babunashvili, Avtandil M., additional, Bagai, Jayant, additional, Banerjee, Subhash, additional, Baran, Kenneth, additional, Basir, Mir Babar, additional, Boudou, Nicolas, additional, Boudoulas, Konstantinos Dean, additional, Bourantas, Christos V., additional, Božinović, Nenad Ž., additional, Bryniarski, Leszek, additional, Bufe, Alexander, additional, Burke, M. Nicholas, additional, Büttner, Heinz Joachim, additional, Cardoso, Pedro Pinto, additional, Carlino, Mauro, additional, Chambers, Jeff, additional, Charitakis, Konstantinos, additional, Chatzizisis, Yiannis S., additional, J. Chavez, Ivan, additional, Choi, James W., additional, Christiansen, Evald Høj, additional, Cohen, Mauricio G., additional, Costa, Francesco, additional, Damas de los Santos, Felix, additional, Dautov, Rustem, additional, De Martini, Tony, additional, Denktas, Ali E., additional, Dens, Joseph, additional, Dimitriadis, Zisis, additional, Doing, Anthony, additional, Egred, Mohaned, additional, Elbarouni, Basem, additional, El Guindy, Ahmed M., additional, El Sabbagh, Abdallah, additional, Fasseas, Panayotis, additional, Feldman, Dmitriy N., additional, Furkalo, Sergey, additional, Gagnor, Andrea, additional, Galassi, Alfredo R., additional, Garbo, Roberto, additional, Garcia, Santiago, additional, Gasparini, Gabriele L., additional, Gershlick, Anthony H., additional, Goessl, Mario, additional, Grancini, Luca, additional, Hakeem, Abdul, additional, Hall, Allison B., additional, Harb, Stefan, additional, Hatem, Raja, additional, Henriques, Jose P.S., additional, Jang, Yangsoo, additional, Jussila, Risto, additional, Kalnins, Artis, additional, Kalyanasundaram, Arun, additional, Kao, Paul Hsien-Li, additional, Karacsonyi, Judit, additional, Karagounis, Lampros, additional, Karanasos, Antonios, additional, Karmpaliotis, Dimitri, additional, Khalili, Houman, additional, Khatri, Jaikirshan J., additional, Khelimskii, Dmitrii, additional, Kim, Byeong-Keuk, additional, Kohl, Louis P., additional, Kolansky, Daniel M., additional, Koutouzis, Michalis, additional, Krestyaninov, Oleg, additional, Latif, Faisal, additional, Lee, Seung-Whan, additional, Lefevre, Thierry, additional, Lembo, Nicholas J., additional, Mahmud, Ehtisham, additional, Marmagkiolis, Konstantinos, additional, Mashayekhi, Kambis, additional, Mavromatis, Kreton, additional, Megaly, Michael, additional, Mogabgab, Owen, additional, Mooney, Michael R., additional, Moses, Jeffrey W., additional, Murad, Bilal, additional, Nap, Alexander, additional, Nicholson, William, additional, Nikas, Dimitrios N., additional, Nikolakopoulos, Ilias, additional, Olivecrona, Goran, additional, Omer, Mohamed A., additional, Oreglia, Jacopo Andrea, additional, Padilla, Lucio, additional, Paizis, Ioannis, additional, Panetta, Carmelo, additional, Patel, Mitul, additional, Pershad, Ashish, additional, Postu, Marin, additional, Potluri, Srini, additional, Poulose, Anil, additional, Pyxaras, Stylianos, additional, Rao, Sunil V., additional, Rathore, Sudhir, additional, Ravandi, Amir, additional, Reifart, Nicolaus, additional, Riley, Robert F., additional, Rinfret, Stephane, additional, Sandhu, Gurpreet S., additional, Sandoval, Yader, additional, Sanidas, Elias, additional, Santiago Trinidad, Ricardo, additional, Schussler, Jeffrey M., additional, Seto, Arnold, additional, Sharma, Alok, additional, Shaukat, Arslan, additional, Shishehbor, Mehdi H., additional, Shlofmitz, Evan, additional, Shlofmitz, Richard, additional, Sorajja, Paul, additional, Spaedy, Anthony, additional, Tajti, Peter, additional, Tamis-Holland, Jacqueline E., additional, Toma, Aurel, additional, Toutouzas, Konstantinos, additional, Traverse, Jay H., additional, Truong, Huu Tam, additional, Tsalamandris, Sotiris, additional, Tsiafoutis, Ioannis, additional, Ungi, Imre, additional, Vavouranakis, Emmanouil, additional, Vemmou, Evangelia, additional, Vo, Minh N., additional, Voudris, Vassilis, additional, Wang, Yale, additional, Wójcik, Jarosław, additional, Wollmuth, Jason, additional, Wu, Eugene B., additional, Xenogiannis, Iosif, additional, Yamane, Masahisa, additional, and Ybarra, Luiz Fernando, additional

Published
2021
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13. URGENT MECHANICAL CIRCULATORY SUPPORT SCORE IN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION

Author

Karacsonyi, Judit, primary, Stanberry, Larissa, additional, Simsek, Bahadir, additional, Kostantinis, Spyridon, additional, Allana, Salman S., additional, Alaswad, Khaldoon, additional, Jaffer, Farouc A., additional, Poommipanit, Paul, additional, Khatri, Jaikirshan J., additional, Patel, Mitul P., additional, Sheikh, Abdul, additional, Wollmuth, Jason R., additional, Uretsky, Barry F., additional, Yeh, Robert W., additional, Chandwaney, Raj H., additional, Rempakos, Athanasios, additional, ElGuindy, Ahmed Mohamed, additional, Rafeh, Nidal Abi, additional, Sandoval, Yader, additional, Burke, M Nicholas, additional, Mastrodemos, Olga, additional, Okeson, Brynn, additional, Rangan, Bavana V., additional, Ungi, Imre, additional, and Brilakis, Emmanouil S., additional

Published
2023
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14. Development of a Novel Score to Predict Urgent Mechanical Circulatory Support in Chronic Total Occlusion Percutaneous Coronary Intervention

Author

Karacsonyi, Judit, primary, Stanberry, Larissa, additional, Simsek, Bahadir, additional, Kostantinis, Spyridon, additional, Allana, Salman, additional, Rempakos, Athanasios, additional, Okeson, Brynn, additional, Alaswad, Khaldoon, additional, Basir, Mir Babar, additional, Jaffer, Farouc A., additional, Poommipanit, Paul, additional, Khatri, Jaikirshan J., additional, Patel, Mitul P., additional, Mahmud, Ehtisham, additional, Sheikh, Abdul M, additional, Wollmuth, Jason, additional, Yeh, Robert W, additional, Chandwaney, Raj, additional, ElGuindy, Ahmed, additional, Abi Rafeh, Nidal, additional, Schimmel, Daniel R, additional, Benzuly, Keith, additional, Burke, Nicholas M, additional, Rangan, Bavana V, additional, Mastrodemos, Olga C, additional, Sandoval, Yader, additional, Ungi, Imre, additional, and Brilakis, Emmanouil S., additional

Published
2023
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15. Use of Mechanical Circulatory Support in Chronic Total Occlusion Percutaneous Coronary Intervention

Author

Karacsonyi, Judit, primary, Deffenbacher, Karen, additional, Benzuly, Keith H., additional, Flaherty, James D., additional, Alaswad, Khaldoon, additional, Basir, Mir, additional, Megaly, Michael S., additional, Jaffer, Farouc, additional, Doshi, Darshan, additional, Poommipanit, Paul, additional, Khatri, Jaikirshan, additional, Patel, Mitul, additional, Riley, Robert, additional, Sheikh, Abdul, additional, Wollmuth, Jason R., additional, Korngold, Ethan, additional, Uretsky, Barry F., additional, Yeh, Robert W., additional, Chandwaney, Raj H., additional, Elguindy, Ahmed M., additional, Tammam, Khalid, additional, AbiRafeh, Nidal, additional, Schmidt, Christian W., additional, Okeson, Brynn, additional, Kostantinis, Spyridon, additional, Simsek, Bahadir, additional, Rangan, Bavana V., additional, Brilakis, Emmanouil S., additional, and Schimmel, Daniel R., additional

Published
2023
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16. Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention: A Global Expert Consensus Document

Author

Brilakis, Emmanouil S., Mashayekhi, Kambis, Tsuchikane, Etsuo, Abi Rafeh, Nidal, Alaswad, Khaldoon, Araya, Mario, Avran, Alexandre, Azzalini, Lorenzo, Babunashvili, Avtandil M., Bayani, Baktash, Bhindi, Ravinay, Boudou, Nicolas, Boukhris, Marouane, Božinović, Nenad Ž., Bryniarski, Leszek, Bufe, Alexander, Buller, Christopher E., Burke, M. Nicholas, Büttner, Heinz Joachim, Cardoso, Pedro, Carlino, Mauro, Christiansen, Evald H., Colombo, Antonio, Croce, Kevin, Damas de los Santos, Felix, De Martini, Tony, Dens, Joseph, Di Mario, Carlo, Dou, Kefei, Egred, Mohaned, ElGuindy, Ahmed M., Escaned, Javier, Furkalo, Sergey, Gagnor, Andrea, Galassi, Alfredo R., Garbo, Roberto, Ge, Junbo, Goel, Pravin Kumar, Goktekin, Omer, Grancini, Luca, Grantham, J. Aaron, Hanratty, Colm, Harb, Stefan, Harding, Scott A., Henriques, Jose P.S., Hill, Jonathan M., Jaffer, Farouc A., Jang, Yangsoo, Jussila, Risto, Kalnins, Artis, Kalyanasundaram, Arun, Kandzari, David E., Kao, Hsien-Li, Karmpaliotis, Dimitri, Kassem, Hussien Heshmat, Knaapen, Paul, Kornowski, Ran, Krestyaninov, Oleg, Kumar, A. V. Ganesh, Laanmets, Peep, Lamelas, Pablo, Lee, Seung-Whan, Lefevre, Thierry, Li, Yue, Lim, Soo-Teik, Lo, Sidney, Lombardi, William, McEntegart, Margaret, Munawar, Muhammad, Navarro Lecaro, José Andrés, Ngo, Hung M., Nicholson, William, Olivecrona, Göran K., Padilla, Lucio, Postu, Marin, Quadros, Alexandre, Quesada, Franklin Hanna, Prakasa Rao, Vithala Surya, Reifart, Nicolaus, Saghatelyan, Meruzhan, Santiago, Ricardo, Sianos, George, Smith, Elliot, C. Spratt, James, Stone, Gregg W., Strange, Julian W., Tammam, Khalid, Ungi, Imre, Vo, Minh, Vu, Vu Hoang, Walsh, Simon, Werner, Gerald S., Wollmuth, Jason R., Wu, Eugene B., Wyman, R. Michael, Xu, Bo, Yamane, Masahisa, Ybarra, Luiz F., Yeh, Robert W., Zhang, Qi, and Rinfret, Stephane

Published
2019
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17. In-hospital outcomes and temporal trends of percutaneous coronary interventions for chronic total occlusion

Author

Kostantinis, Spyridon, primary, Simsek, Bahadir, additional, Karacsonyi, Judit, additional, Alaswad, Khaldoon, additional, Krestyaninov, Oleg, additional, Khelimskii, Dmitrii, additional, Karmpaliotis, Dimitri, additional, Jaffer, Farouc A., additional, Khatri, Jaikirshan J., additional, Poommipanit, Paul, additional, Choi, James W., additional, Jaber, Wissam A., additional, Rinfret, Stéphane, additional, Nicholson, William, additional, Patel, Mitul P., additional, Mahmud, Ehtisham, additional, Dattilo, Philip, additional, Gorgulu, Sevket, additional, Koutouzis, Michael, additional, Tsiafoutis, Ioannis, additional, Elbarouni, Basem, additional, Sheikh, Abdul M., additional, Uretsky, Barry F., additional, ElGuindy, Ahmed M., additional, Jefferson, Brian K., additional, Patel, Taral N., additional, Wollmuth, Jason, additional, Riley, Robert F., additional, Benton, Stewart M., additional, Davies, Rhian E., additional, Chandwaney, Raj H., additional, Toma, Catalin, additional, Yeh, Robert W., additional, Schimmel, Daniel R., additional, Abi Rafeh, Nidal, additional, Goktekin, Omer, additional, Kerrigan, Jimmy L., additional, Mastrodemos, Olga C., additional, Rangan, Bavana V., additional, Garcia, Santiago, additional, Sandoval, Yader, additional, Burke, M. Nicholas, additional, and Brilakis, Emmanouil, additional

Published
2022
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18. Strategies for Reducing Vascular and Bleeding Risk for Percutaneous Left Ventricular Assist Device-supported High-risk Percutaneous Coronary Intervention

Author

Vetrovec, George W, Kaki, Amir, Wollmuth, Jason, and Dahle, Thom G

Subjects
Cardiovascular Disease
Abstract

In patients at high risk for haemodynamic instability during percutaneous coronary intervention (PCI), practitioners are increasingly opting for prophylactic mechanical circulatory support, such as the Impella® heart pump (Abiomed, Danvers, MA, USA). Though Impella-supported high-risk PCI (HRPCI) ensures haemodynamic stability during the PCI procedure, access-related complication rates have varied significantly in published studies. Reported variability in complication rates relates to many factors, including anticoagulation practices, access and closure strategy, post-procedure care and variations in event definitions. This article aims to outline optimal strategies to minimize vascular and bleeding complications during Impella-supported HRPCI based on previously identified clinical, procedural and postprocedural risk factors. Practices to reduce complications include femoral skills training, standardized protocols to optimize access, closure, anticoagulation management and post-procedural care, as well as the application of techniques and technological advances. Protocols integrating these strategies to mitigate access-related bleeding and vascular complications for Impella-supported procedures can markedly limit vascular access risk as a barrier to appropriate large-bore mechanical circulatory support use in HRPCI.

Published
2022

21. LB-4 | Contemporary In-Hospital Outcomes and Temporal Trends of Chronic Total Occlusion Percutaneous Coronary Interventions: Insights from the PROGRESS-CTO International Registry

Author

Kostantinis, Spyridon, primary, Simsek, Bahadir, additional, Karacsonyi, Judit, additional, Alaswad, Khaldoon, additional, Krestyaninov, Oleg, additional, Khelimskii, Dmitrii, additional, Karmpaliotis, Dimitrios, additional, Jaffer, Farouc A., additional, Khatri, Jaikirshan, additional, Poommipanit, Paul, additional, Choi, James W., additional, Jaber, Wissam A., additional, Rinfret, Stéphane, additional, Nicholson, William J., additional, Patel, Mitul P., additional, Mahmud, Ehtisham, additional, Dattilo, Philip, additional, Görgülü, Şevket, additional, Koutouzis, Michail, additional, Tsiafoutis, Ioannis, additional, Elbarouni, Basem, additional, Sheikh, Abdul M., additional, Uretsky, Barry F., additional, Elguindy, Ahmed, additional, Jefferson, Brian, additional, Patel, Taral, additional, Wollmuth, Jason R., additional, Riley, Robert F., additional, Benton, Stewart M., additional, Davies, Rhian E., additional, Chandwaney, Raj H., additional, Toma, Catalin, additional, Yeh, Robert W., additional, Schimmel, Daniel, additional, Rafeh, Nidal Abi, additional, Göktekin, Ömer, additional, Lee Kerrigan, Jimmy, additional, Burke, M. Nicholas, additional, Mastrodemos, Olga C., additional, Rangan, Bavana V., additional, and Brilakis, Emmanouil S., additional

Published
2022
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22. E-13 | Percutaneous Coronary Interventions of Balloon Uncrossable Chronic Total Occlusions

Author

Karacsonyi, Judit, primary, Alaswad, Khaldoon, additional, Krestyaninov, Oleg, additional, Khelimskii, Dmitrii, additional, Khatri, Jaikirshan, additional, Poomipanit, Paul, additional, Jaffer, Farouc A., additional, Choi, James W., additional, Patel, Mitul P., additional, Görgülü, Şevket, additional, Koutouzis, Michail, additional, Tsiafoutis, Ioannis, additional, Sheikh, Abdul M., additional, Elguindy, Ahmed, additional, Elbarouni, Basem, additional, Patel, Taral, additional, Jefferson, Brian, additional, Wollmuth, Jason R., additional, Yeh, Robert W., additional, Karmpaliotis, Dimitrios, additional, Kirtane, Ajay J., additional, Ali, Ziad A., additional, McEntegart, Margaret, additional, Masoumi, Amirali, additional, Davies, Rhian E., additional, Kostantinis, Spyridon, additional, Simsek, Bahadir, additional, Rangan, Bavana V., additional, Mastrodemos, Olga C., additional, Doshi, Darshan, additional, Sandoval, Yader B., additional, Basir, Mir B., additional, Megaly, Michael S., additional, Ungi, Imre, additional, Rafeh, Nidal Abi, additional, Göktekin, Ömer, additional, and Brilakis, Emmanouil S., additional

Published
2022
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23. E-12 | Intravascular Imaging Use in Percutaneous Coronary Interventions Chronic Total Occlusions

Author

Karacsonyi, Judit, primary, Kostantinis, Spyridon, additional, Simsek, Bahadir, additional, Basir, Mir B., additional, Megaly, Michael S., additional, Krestyaninov, Oleg, additional, Khelimskii, Dmitrii, additional, Khatri, Jaikirshan, additional, Poomipanit, Paul, additional, Jaffer, Farouc A., additional, Patel, Mitul P., additional, Karmpaliotis, Dimitrios, additional, Kirtane, Ajay J., additional, Ali, Ziad A., additional, McEntegart, Margaret, additional, Masoumi, Amirali, additional, Görgülü, Şevket, additional, Koutouzis, Michail, additional, Tsiafoutis, Ioannis, additional, Sheikh, Abdul M., additional, Elbarouni, Basem, additional, Jaber, Wissam A., additional, Patel, Taral, additional, Jefferson, Brian, additional, Davies, Rhian E., additional, Choi, James W., additional, Elguindy, Ahmed, additional, Wollmuth, Jason R., additional, Yeh, Robert W., additional, Rangan, Bavana V., additional, Mastrodemos, Olga C., additional, Doshi, Darshan, additional, Sandoval, Yader B., additional, Ungi, Imre, additional, Rafeh, Nidal Abi, additional, Göktekin, Ömer, additional, Brilakis, Emmanouil S., additional, and Alaswad, Khaldoon, additional

Published
2022
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25. EVALUATION OF THE OPEN-CLEAN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION PERFORATION SCORE IN THE PROGRESS-CTO REGISTRY

Author

Kostantinis, Spyridon, primary, Okeson, Brynn, additional, Simsek, Bahadir, additional, Karacsonyi, Judit, additional, Uretsky, Barry F., additional, Sheikh, Abdul, additional, Jefferson, Brian K., additional, Patel, Taral N., additional, Wollmuth, Jason R., additional, Riley, Robert F., additional, Burke, M Nicholas, additional, Garcia, Santiago, additional, Benton, Stewart M., additional, Davies, Rhian E., additional, Choi, James W., additional, Kandzari, David E., additional, Chandwaney, Raj H., additional, Toma, Catalin, additional, Vemmou, Evangelia, additional, Nikolakopoulos, Ilias, additional, Rafeh, Nidal Abi, additional, Goktekin, Omer, additional, ElGuindy, Ahmed M., additional, Rangan, Bavana V., additional, and Brilakis, Emmanouil S., additional

Published
2022
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26. DEVELOPMENT OF A NOVEL SCORE TO PREDICT URGENT MECHANICAL CIRCULATORY SUPPORT IN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION

Author

Karacsonyi, Judit, primary, Okeson, Brynn, additional, Alaswad, Khaldoon, additional, Jaffer, Farouc A., additional, Poomipanit, Paul, additional, Khatri, Jaikirshan J., additional, Patel, Mitul P., additional, Riley, Robert F., additional, Sheikh, Abdul, additional, Wollmuth, Jason R., additional, Yeh, Robert W., additional, Chandwaney, Raj H., additional, Elguindy, Ahmed M., additional, Tammam, Khalid, additional, Rafeh, Nidal Abi, additional, Schimmel, Daniel R., additional, Burke, M. Nicholas, additional, Kostantinis, Spyridon, additional, Simsek, Bahadir, additional, Deffenbacher, Karen, additional, Benzuly, Keith H., additional, Flaherty, James D., additional, Rangan, Bavana V., additional, Ungi, Imre, additional, and Brilakis, Emmanouil S., additional

Published
2022
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27. Practice Patterns in the Interventional Treatment of Coronary Bifurcation Lesions: A Global Survey

Author

Nikolakopoulos, Ilias, Vemmou, Evangelia, Karacsonyi, Judit, Azzalini, Lorenzo, Bergmark, Brian A., Chatzizisis, Yiannis S., Hall, Allison B., Wollmuth, Jason, Croce, Kevin, Jneid, Hani, Rangan, Bavana V., Burke, M. Nicholas, and Brilakis, Emmanouil S.

Subjects
surgical procedures, operative, Percutaneous Coronary Intervention, Treatment Outcome, Humans, Stents, Coronary Artery Disease, Coronary Angiography, health care economics and organizations, Article
Abstract

OBJECTIVES. The study aim was to assess current procedural strategies and perceptions for percutaneous coronary intervention (PCI) involving bifurcations. METHODS. We distributed an online survey via email (8050 invitations) and social media. RESULTS. Among 440 responders, median annual PCI volumes were 15 cases (interquartile range [IQR], 10–29 cases) for left main (LM) and 50 cases (IQR, 27–73 cases) for non-LM (nLM) bifurcation lesions. Radial access use was reported in 51% of LM and 82% of nLM cases. An upfront 2-stent strategy, most commonly double-kissing (DK) crush, was reported in 49% of LM and 29% of nLM lesions. Bailout stenting during provisional stenting was reported in 26% of LM-PCIs, usually using the T and protrusion technique. In provisional stenting cases, most operators (85%), most often using both kissing-balloon inflation and the proximal optimization technique. Intravascular imaging was used in 80% of LM and 46% of nLM cases. CONCLUSIONS. Among the survey responders, the DK crush technique was the most frequently used 2-stent strategy for bifurcation PCIs. For LM lesions, bailout stenting was performed after provisional strategy in approximately 25% of cases. For nLM lesions, use of intravascular imaging and coronary physiology was lower than for LM lesions.

Published
2022

28. Abstract 11451: Use of Mechanical Circulatory Support in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights from the PROGRESS-CTO Registry

Author

Karacsonyi, Judit, primary, Deffenbacher, Karen, additional, Benzuly, Keith H, additional, Flaherty, James D, additional, Alaswad, Khaldoon, additional, Jaffer, Farouc A, additional, Poomipanit, Paul, additional, Khatri, Jaikirshan, additional, Patel, Mitul, additional, Riley, Robert, additional, Sheikh, Abdul, additional, Wollmuth, Jason R, additional, Korngold, Ethan, additional, Uretsky, Barry F, additional, Yeh, Robert W, additional, Chandwaney, Raj H, additional, Wyman, R M, additional, Potluri, Srinivasa, additional, Doing, Anthony, additional, Elguindy, Ahmed M, additional, Tammam, Khalid, additional, Abi Rafeh, Nidal, additional, Schmidt, Christian, additional, Vemmou, Evangelia, additional, Nikolakopoulos, Ilias, additional, Kostantinis, Spyridon, additional, Xenogiannis, Iosif, additional, Rangan, Bavana V, additional, Ungi, Imre, additional, Brilakis, Emmanouil S, additional, and Schimmel, Daniel R, additional

Published
2021
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29. Decision-Making During Percutaneous Coronary Intervention Guided by Optical Coherence Tomography: Insights From the LightLab Initiative.

Author

Bergmark, Brian, Dallan, Luis A.P., Pereira, Gabriel T.R., Kuder, Julia F., Murphy, Sabina A., Buccola, Jana, Wollmuth, Jason, Lopez, John, Spinelli, Joia, Meinen, Jennifer, West, Nick E.J., and Croce, Kevin

Abstract

BACKGROUND: Use of intracoronary imaging is associated with improved outcomes in patients undergoing percutaneous coronary intervention (PCI). Yet, the impact of intracoronary imaging on real-time physician decision-making during PCI is not fully known. METHODS: The LightLab Initiative is a multicenter, prospective, observational study designed to characterize the use of a standardized optical coherence tomography (OCT) workflow during PCI. Participating physicians performed pre-PCI and post-PCI OCT in accordance with this workflow and operator assessments of lesion characteristics and treatment plan were recorded for each lesion based on angiography alone and following OCT. Physicians were categorized as having low (n=15), intermediate (n=13), or high (n=14) OCT use in the year preceding participation. RESULTS: Among 925 patients with 1328 lesions undergoing PCI, the prescribed OCT workflow was followed in 773 (84%) of patients with 836 lesions. Operator lesion assessment and decision-making during PCI changed with OCT use in 86% (721/836) of lesions. Pre-PCI OCT use changed operator decision-making in 80% of lesions, including lesion assessment (45%), vessel preparation strategy (27%), stent diameter (37%), and stent length (36%). Post-PCI OCT changed stent optimization decision-making in 31% of lesions. These findings were consistent across strata of physician prior OCT experience. CONCLUSIONS: A standardized OCT workflow impacted PCI decision-making in 86% of lesions, with a predominant effect on pre-PCI lesion assessment and planning of treatment strategy. This finding was consistent regardless of operator experience level and provides insight into mechanisms by which intravascular imaging might improve PCI outcomes. [ABSTRACT FROM AUTHOR]

Published
2022
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31. CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION DURING COVID-19 PANDEMIC, INSIGHTS FROM THE PROGRESS-CTO REGISTRY

Author

Vemmou, Evangelia, primary, Alaswad, Khaldoon, additional, Khatri, Jaikirshan, additional, Wollmuth, Jason, additional, Krestianinov, Oleg, additional, Khelimskii, Dmitrii, additional, Choi, James, additional, Jaffer, Farouc, additional, ElGuindy, Ahmed, additional, Rafeh, Nidal Abi, additional, Riley, Robert, additional, Reddy, Niranjan, additional, Goktekin, Omer, additional, Flaherty, James, additional, Benzuly, Keith, additional, Schimmel, Daniel, additional, Chandwaney, Raj, additional, Tsiafoutis, Ioannis, additional, Koutouzis, Michael, additional, Nikolakopoulos, Ilias, additional, Karacsonyi, Judit, additional, Rangan, Bavana, additional, Garcia, Santiago, additional, Burke, M. Nicholas, additional, and Brilakis, Emmanouil, additional

Published
2021
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33. Strategies for Reducing Vascular and Bleeding Risk for Percutaneous Left Ventricular Assist Device-supported High-risk Percutaneous Coronary Intervention.

Author

Vetrovec, George W., Kaki, Amir, Wollmuth, Jason, and Dahle, Thom G.

Subjects
HEMORRHAGE risk factors, HYPERTENSION risk factors, GENERAL practitioners, HOSPITALS, ARTIFICIAL blood circulation, PROFESSIONAL peer review, PUBLISHING, EVALUATION of medical care, PERCUTANEOUS coronary intervention, HEART valve prosthesis implantation, PERIPHERAL vascular diseases, REVASCULARIZATION (Surgery), OPERATIVE surgery, HEART assist devices, SURGICAL hemostasis, POSTOPERATIVE care, ANTICOAGULANTS, MEDICAL care, CORONARY disease, CORONARY circulation, CARDIOVASCULAR system, MEDICAL protocols, PSYCHOSOCIAL factors, BLIND experiment, SEX hormones, HEMODYNAMICS, TECHNOLOGY, VASCULAR closure devices, COMORBIDITY
Abstract

In patients at high risk for haemodynamic instability during percutaneous coronary intervention (PCI), practitioners are increasingly opting for prophylactic mechanical circulatory support, such as the Impella® heart pump (Abiomed, Danvers, MA, USA). Though Impellasupported high-risk PCI (HRPCI) ensures haemodynamic stability during the PCI procedure, access-related complication rates have varied significantly in published studies. Reported variability in complication rates relates to many factors, including anticoagulation practices, access and closure strategy, post-procedure care and variations in event definitions. This article aims to outline optimal strategies to minimize vascular and bleeding complications during Impella-supported HRPCI based on previously identified clinical, procedural and postprocedural risk factors. Practices to reduce complications include femoral skills training, standardized protocols to optimize access, closure, anticoagulation management and post-procedural care, as well as the application of techniques and technological advances. Protocols integrating these strategies to mitigate access-related bleeding and vascular complications for Impella-supported procedures can markedly limit vascular access risk as a barrier to appropriate large-bore mechanical circulatory support use in HRPCI. [ABSTRACT FROM AUTHOR]

Published
2022
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37. TCT CONNECT-230 The Impact of Laser Use on the Outcomes of Balloon Uncrossable and Balloon Undilatable Chronic Total Occlusion Percutaneous Coronary Intervention

Author

Karacsonyi, Judit, primary, Alaswad, Khaldoon, additional, Choi, James, additional, Khatri, Jaikirshan, additional, Jaffer, Farouc Amin, additional, Poomipanit, Paul, additional, Forouzandeh, Farshad, additional, Koutouzis, Michalis, additional, Tsiafoutis, Ioannis, additional, Patel, Mitul, additional, Mahmud, Ehtisham, additional, Krestyaninov, Oleg, additional, Jefferson, Brian, additional, Patel, Taral, additional, Shah, Alpesh, additional, Chandwaney, Raj, additional, Wollmuth, Jason, additional, Sheikh, Abdul, additional, Yeh, Robert, additional, Tamez, Hector, additional, Jaber, Wissam, additional, Samady, Habib, additional, Malik, Bilal, additional, Potluri, Srinivasa, additional, Uretsky, Barry, additional, Doing, Anthony, additional, Dattilo, Philip, additional, Elbarouni, Basem, additional, Love, Michael, additional, Vemmou, Evangelia, additional, Nikolakopoulos, Ilias, additional, Xenogiannis, Iosif, additional, Rangan, Bavana, additional, Garcia, Santiago, additional, Ungi, Imre, additional, ElGuindy, Ahmed, additional, Goktekin, Omer, additional, Rafeh, Nidal Abi, additional, and Brilakis, Emmanouil, additional

Published
2020
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39. An algorithmic approach to balloon‐uncrossable coronary lesions

Author

Elrayes, Mahmoud M., primary, Xenogiannis, Iosif, additional, Nikolakopoulos, Ilias, additional, Vemmou, Evangelia, additional, Wollmuth, Jason, additional, Abi Rafeh, Nidal, additional, Karmpaliotis, Dimitri, additional, Gasparini, Gabriele L., additional, Burke, Martin Nicholas, additional, and Brilakis, Emmanouil S., additional

Published
2020
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