relation: http://publicatio.bibl.u-szeged.hu/23953/
title: In-hospital Outcomes of Attempting More Than One Chronic Total Coronary Occlusion Through Percutaneous Intervention During the Same Procedure
creator:  Tajti Péter
creator:  Alaswad Khaldoon
creator:  Karmpaliotis Dimitri
creator:  Jaffer Farouc A.
creator:  Yeh Robert W.
creator:  Patel Mitul
creator:  Mahmud Ehtisham
creator:  Choi James W.
creator:  Burke M. Nicholas
creator:  Doing Anthony H.
creator:  Toma Catalin
creator:  Uretsky Barry
creator:  Holper Elizabeth
creator:  Wyman R. Michael
creator:  Ungi Imre
subject: 03.02. Klinikai orvostan
description: The frequency and outcomes of patients who underwent chronic total occlusion (CTO) percutaneous coronary intervention (PCI) of more than one CTO during the same procedure have received limited study. We compared the clinical and angiographic characteristics and procedural outcomes of patients who underwent treatment of single versus >1 CTOs during the same procedure in 20 centers from the United States, Europe, and Russia. A total of 2,955 patients were included: mean age was 65 ± 10 years and 85% were men with high prevalence of previous myocardial infarction (46%), and previous coronary artery bypass graft surgery (33%). More than one CTO lesions were attempted during the same procedure in 58 patients (2.0%) and 70% of them were located in different major epicardial arteries. Compared with patients who underwent PCI of a single CTO, those who underwent PCI of >1 CTOs during the same procedure had similar J-CTO (2.4 ± 1.3 vs 2.5 ± 1.3, p = 0.579) and Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (1.5 ± 1.2 vs 1.3 ± 1.0 p = 0.147) scores. The multi-CTO PCI group had similar technical success (86% vs 87%, p = 0.633), but higher risk of in-hospital major complications (10.3% vs 2.7%, p = 0.005), and consequently numerically lower procedural success (79% vs 85%, p = 0.197). The multi-CTO PCI group had higher in-hospital mortality (5.2% vs 0.5%, p = 0.005) and stroke (5.2%vs 0.2%, p <0.001), longer procedure duration (162 [117 to 242] vs 122 [80 to 186] minutes, p <0.001) and higher radiation dose (3.6 [2.1 to 6.4] vs 2.9 [1.7 to 4.7] Gray, p = 0.033). In conclusion, staged revascularization may be the preferred approach in patients with >1 CTO lesions requiring revascularization, as treatment during a single procedure was associated with higher risk for periprocedural complications.
date: 2018
type: Folyóiratcikk
type: PeerReviewed
format: text
identifier: http://publicatio.bibl.u-szeged.hu/23953/1/Tajti3.pdf
identifier:     Tajti Péter;  Alaswad Khaldoon;  Karmpaliotis Dimitri;  Jaffer Farouc A.;  Yeh Robert W.;  Patel Mitul;  Mahmud Ehtisham;  Choi James W.;  Burke M. Nicholas;  Doing Anthony H.;  Toma Catalin;  Uretsky Barry;  Holper Elizabeth;  Wyman R. Michael;  Ungi Imre: In-hospital Outcomes of Attempting More Than One Chronic Total Coronary Occlusion Through Percutaneous Intervention During the Same Procedure.   AMERICAN JOURNAL OF CARDIOLOGY, 122 (3).  pp. 381-387.  ISSN 0002-9149 (2018)     
identifier: doi:10.1016/j.amjcard.2018.04.021
relation: http://doi.org/10.1016/j.amjcard.2018.04.021
relation: 30420612
language: eng