Procedural, Functional and Prognostic Outcomes Following Recanalization of Coronary Chronic Total Occlusions. Results of the Iberian Registry

Autor: Laura Pardo, Luis Teruel, Francisco Bosa Ojeda, Beatriz Vaquerizo, Fernando Rivero, Alfonso Jurado, Sara Rodríguez, Victoria Martin-Yuste, Mario Sadaba, Sergio Rojas, Juan Sanchis, Nieves Gonzalo, Dae-Hyun Lee, Hugo Vinhas, Manel Sabaté, Gema Miñana, Vicente Mainar, Juan Caballero-Borrego, Sergio Rodríguez, Renato Fernandes, Mohsen Mohandes, Daniela Dubois, Luis R. Goncalves-Ramírez, Miriam Jiménez-Fernández, Guillermo Galeote, Itziar Gómez, María José López, Javier Lacunza, Jaume Maristany, José M. de la Torre Hernández, Alejandro Gutiérrez, Javier Cuesta, Francisco J. Morales, Juan Sánchez-Rubio, Soledad Ojeda, Juan Rondan, Alejandro Diego Nieto, José Antonio Fernández-Díaz, Eva Rumiz, Pablo Salinas, Paula Tejedor, Julio Núñez Villota, Paol Rojas, Raúl Millán, Javier Martín-Moreiras, Zuheir Kabbanni, Javier Goicolea, Jesús Jiménez-Mazuecos, Ignacio J. Amat-Santos, Javier Escaned
Rok vydání: 2019
Předmět:
Male
Reoperation
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Perforation (oil well)
Myocardial Ischemia
030204 cardiovascular system & hematology
03 medical and health sciences
Percutaneous Coronary Intervention
Postoperative Complications
0302 clinical medicine
Internal medicine
Myocardial Revascularization
medicine
Humans
Prospective Studies
Registries
Myocardial infarction
Prospective cohort study
Ultrasonography
Interventional
Aged
Portugal
business.industry
Mortality rate
Percutaneous coronary intervention
General Medicine
medicine.disease
Treatment Outcome
Coronary Occlusion
Surgery
Computer-Assisted
Spain
Coronary occlusion
Chronic Disease
Conventional PCI
Cardiology
Female
CTO
Cardiopatía isquémica crónica
Chronic ischemic cardiomyopathy
Chronic total occlusions
IVUS
OCT
Oclusiones crónicas
business
Zdroj: REVISTA ESPANOLA DE CARDIOLOGIA
r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
r-FIHGUV. Repositorio Institucional de Producción Científica de la Fundación de Investigación del Hospital General de Valencia
ISSN: 0300-8932
1885-5857
Popis: Introduction and objectives: There is current controversy regarding the benefits of percutaneous recanalization (PCI) of chronic total coronary occlusions (CTO). Our aim was to determine acute and follow-up outcomes in our setting. Methods: Two-year prospective registry of consecutive patients undergoing PCI of CTO in 24 centers. Results: A total of 1000 PCIs of CTO were performed in 952 patients. Most were symptomatic (81.5%), with chronic ischemic heart disease (59.2%). Previous recanalization attempts had been made in 15%. The mean SYNTAX score was 19.5 +/- 10.6 and J-score was > 2 in 17.3%. A retrograde procedure was performed in 92 patients (9.2%). The success rate was 74.9% and was higher in patients without previous attempts (82.2% vs 75.2%; P = .001), those with a J-score 20 mm, and blunt proximal cap were independent predictors of failed recanalization. The rate of procedural complications was 7.1%, including perforation (3%), myocardial infarction (1.3%), and death (0.5%). At 1-year of follow-up, 88.2% of successfully revascularized patients showed clinical improvement (vs 34.8%, P < .001), which was associated with lower mortality. At 1-year of follow-up, the mortality rate was 1.5%. Conclusions: Compared with other national registries, patients in the Iberian registry undergoing PCI of a CTO showed similar complexity, success rate, and complications. Successful recanalization was strongly associated with functional improvement, which was related to lower mortality. (C) 2018 Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Cardiologia.
Databáze: OpenAIRE
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