دورية أكاديمية
Contemporary In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions: Insights from the MENATA (Middle East, North Africa, Turkey, and Asia) Chapter of the PROGRESS-CTO Registry.
| العنوان: | Contemporary In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions: Insights from the MENATA (Middle East, North Africa, Turkey, and Asia) Chapter of the PROGRESS-CTO Registry. |
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| المؤلفون: | Gorgulu S; Department of Cardiology, Biruni University Medical School, Istanbul, Turkey. Electronic address: sevket5@yahoo.com., Kostantinis S; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., ElGuindy AM; Department of Cardiology, Aswan Heart Center, Magdi Yacoub Foundation, Cairo, Egypt., Abi Rafeh N; Department of Cardiology, North Oaks Health System, Hammond, Louisiana., Simsek B; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Rempakos A; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Karacsonyi J; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Kalay N; Department of Cardiology, Acibadem Kocaeli Hospital, Izmit, Turkey., Samir A; Department of Cardiology, Aswan Heart Center, Magdi Yacoub Foundation, Cairo, Egypt; Department of Cardiology, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt., Jaoudeh FA; Department of Cardiology, St. George Hospital University Medical Center, Beirut, Lebanon., Maalouf A; Department of Cardiology, St. George Hospital University Medical Center, Beirut, Lebanon., Soylu K; Department of Cardiology, Ondokuz Mayis University Medical Faculty, Samsun, Turkey., Yildirim U; Department of Cardiology, Ondokuz Mayis University Medical Faculty, Samsun, Turkey., Tigen MK; Department of Cardiology, Marmara University Medical Faculty, Istanbul, Turkey., Cincin A; Department of Cardiology, Marmara University Medical Faculty, Istanbul, Turkey., Kalyanasundaram A; Department of Cardiology, Promed Hospital, Chennai, India., Aygul N; Department of Cardiology, Selcuk University Medical Faculty, Konya, Turkey., Altunkeser BB; Department of Cardiology, Selcuk University Medical Faculty, Konya, Turkey., El Sayed A; Department of Cardiology, Al Zahraa University Hospital, Beirut, Lebanon., Sadek Y; Department of Cardiology, National Heart Institute, Cairo, Egypt., Shelton C; Department of Cardiology, Aswan Heart Center, Magdi Yacoub Foundation, Cairo, Egypt., Jbara K; Department of Cardiology, St. George Hospital University Medical Center, Beirut, Lebanon., Vemmou E; Department of Cardiology, Yale New Haven Hospital, New Haven, Connecticut., Nikolakopoulos I; Department of Cardiology, Yale New Haven Hospital, New Haven, Connecticut., Mastrodemos OC; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Rangan BV; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Allana SS; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Sandoval Y; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Burke MN; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Brilakis ES; Department of Cardiology, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota., Goktekin O; Department of Cardiology, Memorial Bahcelievler Hospital, Istanbul, Turkey. |
| المصدر: | The American journal of cardiology [Am J Cardiol] 2023 Nov 01; Vol. 206, pp. 221-229. Date of Electronic Publication: 2023 Sep 15. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0207277 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1913 (Electronic) Linking ISSN: 00029149 NLM ISO Abbreviation: Am J Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Excerpta Medica |
| مواضيع طبية MeSH: | Percutaneous Coronary Intervention*/adverse effects , Coronary Occlusion*/diagnosis , Coronary Occlusion*/epidemiology , Coronary Occlusion*/surgery, Male ; Humans ; Middle Aged ; Aged ; Female ; Turkey/epidemiology ; Prospective Studies ; Treatment Outcome ; Risk Factors ; Asia ; Coronary Angiography ; Africa, Northern/epidemiology ; Registries ; Chronic Disease |
| مستخلص: | Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has been rapidly evolving in different parts of the world. We examined the clinical and angiographic characteristics and procedural outcomes of 1,079 consecutive CTO PCIs performed in 1,063 patients at 10 centers in the Middle East, North Africa, Turkey, and Asia regions between 2018 and 2022. The mean age was 61 ± 10 years and 82% of the patients were men. The prevalence of diabetes (49%) and previous PCI (50%) was high. The most common target vessel was the right coronary artery (51%), followed by the left anterior descending artery (33%) and the circumflex artery (15%). The mean Japanese CTO score was 2.1 ± 1.2 and mean PROGRESS-CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) score was 1.2 ± 1.0. The technical and procedural success rates were high (91% and 90%, respectively) with a low incidence (1.6%) of in-hospital major adverse cardiac events. The incidence of perforation was 4.6% (n = 50): guidewire exit was the most common mechanism of perforation (48%) and 14 patients required pericardiocentesis (28%). Antegrade wire escalation was the most common crossing strategy used (91%), followed by retrograde approach (24%) and antegrade dissection and re-entry (12%). Median contrast volume, air kerma radiation dose, and fluoroscopy time were 300 (200 to 400) ml, 3.7 (2.0 to 6.3) Gy, and 40 (25 to 65) minutes, respectively. In conclusion, high success and acceptable complication rates are currently achieved at experienced centers in the Middle East, North Africa, Turkey, and Asia regions using a combination of crossing strategies. Competing Interests: Declaration of Competing Interest Dr. ElGuindy receives consulting honoraria from Medtronic, Boston Scientific, Asahi Intecc, Terumo; proctorship fees from Medtronic, Boston Scientific, Asahi Intecc, Terumo. Dr. Rafeh receives proctor and speaker honoraria from Boston Scientific and Shockwave medical. Dr. Sandoval previously served on the Advisory Boards for Roche Diagnostics and Abbott Diagnostics without personal compensation and has also been a speaker without personal financial compensation for Abbott Diagnostics. Dr. Burke is a shareholder in MHIC, Egg Medical. Dr. Brilakis receives consulting/speaker honoraria from Abbott Vascular, American Heart Association (associate editor Circulation), Amgen, Asahi Intecc, Biotronik, Boston Scientific, Cardiovascular Innovations Foundation (Board of Directors), ControlRad, CSI, Elsevier, GE Healthcare, IMDS, InfraRedx, Medicure, Medtronic, Opsens, Siemens, and Teleflex; receives research support from Boston Scientific, GE Healthcare; is an owner of Hippocrates LLC; is a shareholder in MHI Ventures, Cleerly Health, Stallion Medical. The remaining authors have no competing interests to declare. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: chronic total occlusion; outcomes; percutaneous coronary intervention |
| تواريخ الأحداث: | Date Created: 20230917 Date Completed: 20231010 Latest Revision: 20231018 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.amjcard.2023.08.103 |
| PMID: | 37717475 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1879-1913 |
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| DOI: | 10.1016/j.amjcard.2023.08.103 |