keyword
https://read.qxmd.com/read/38625456/occupational-risks-of-radiation-exposure-to-cardiologists
#1
REVIEW
Jean-Benoît Veillette, Marc-Antoine Carrier, Stéphane Rinfret, Julien Mercier, Jean Arsenault, Jean-Michel Paradis
PURPOSE OF REVIEW: Invasive cardiologists are exposed to large amounts of ionizing radiation. This review aims to summarize the main occupational risks in a radiation-exposed cardiology practice. RECENT FINDINGS: We carried out a literature review on the subject. The studies reviewed allowed us to list six main health risk categories possibly associated with radiation exposure among cardiologists: deoxyribonucleic acid (DNA) and biochemical damages; cancers; ocular manifestations; olfaction, vascular, and neuropsychological alterations; musculoskeletal problems; and reproductive risks...
April 16, 2024: Current Cardiology Reports
https://read.qxmd.com/read/38563074/retrograde-chronic-total-occlusion-percutaneous-coronary-intervention-via-ipsilateral-collaterals
#2
JOURNAL ARTICLE
Ahmed Al-Ogaili, Michaella Alexandrou, Athanasios Rempakos, Deniz Mutlu, James W Choi, Paul Poommipanit, Jaikirshan J Khatri, Khaldoon Alaswad, Mir B Basir, Raj H Chandwaney, Sevket Gorgulu, Ahmed M ElGuindy, Basem Elbarouni, Wissam Jaber, Stephane Rinfret, William Nicholson, Farouc A Jaffer, Nazif Aygul, Lorenzo Azzalini, Kathleen E Kearney, Jarrod Frizzell, Rhian Davies, Omer Goktekin, Bavana V Rangan, Olga C Mastrodemos, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
BACKGROUND: There is limited data on retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) via ipsilateral epicardial collaterals (IEC). AIMS: To compare the clinical and angiographic characteristics, and outcomes of retrograde CTO PCI via IEC versus other collaterals in a large multicenter registry. METHODS: Observational cohort study from the Prospective Global registry for the study of Chronic Total Occlusion Intervention (PROGRESS-CTO)...
April 2, 2024: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38441989/racial-disparities-in-chronic-total-occlusion-percutaneous-coronary-interventions-insights-from-the-progress-cto-registry
#3
JOURNAL ARTICLE
Salman S Allana, Athanasios Rempakos, Michaella Alexandrou, Deniz Mutlu, Khaldoon Alaswad, Lorenzo Azzalini, Kathleen Kearney, Oleg Krestyaninov, Dmitrii Khelimskii, Sevket Gorgulu, Raj Chandwaney, Farouc A Jaffer, Jaikirshan J Khatri, Rhian Davies, Stewart Benton, James W Choi, Dimitrios Karmpaliotis, Paul Poommipanit, William Nicholson, Wissam Jaber, Stephane Rinfret, Jarrod Frizzell, Taral Patel, Brian Jefferson, Nazif Aygul, Omer Goktekin, Ahmed ElGuindy, Nidal Abi-Rafeh, Bavana V Rangan, Bilal Murad, M Nicholas Burke, Yader Sandoval, Emmanouil S Brilakis
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...
March 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38441986/update-on-chronic-total-occlusion-percutaneous-coronary-intervention
#4
REVIEW
Deniz Mutlu, Athanasios Rempakos, Michaella Alexandrou, Ahmed Al-Ogaili, Masahisa Yamane, Khaldoon Alaswad, Mir Basir, Rhian Davies, James Choi, Andrea Gagnor, Roberto Garbo, Omer Goktekin, Sevket Gorgulu, Jaikirshann J Khatri, William Nicholson, Stephane Rinfret, Wissam Jaber, Mohaned Egred, Anastasios Milkas, Carlo Di Mario, Kambis Mashayekhi, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
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.
March 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38108870/lesion-complexity-and-procedural-outcomes-associated-with-ostial-chronic-total-occlusions-insights-from-the-progress-cto-registry
#5
JOURNAL ARTICLE
Salman S Allana, Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, Athanasios Rempakos, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskii, Dimitrios Karmpaliotis, Farouc A Jaffer, Jaikirshan J Khatri, Paul Poommipanit, Mitul P Patel, Ehtisham Mahmud, Michael Koutouzis, Ioannis Tsiafoutis, Sevket Gorgulu, Basem Elbarouni, William Nicholson, Wissam Jaber, Stephane Rinfret, Nidal Abi Rafeh, Omer Goktekin, Ahmed M ElGuindy, Yader Sandoval, M Nicholas Burke, Bavana V Rangan, Emmanouil S Brilakis
OBJECTIVES: Ostial CTOs can be challenging to revascularize. We aim to describe the outcomes of ostial chronic total occlusion (CTO) percutaneous coronary intervention (PCI). METHODS: We examined the clinical and angiographic characteristics and procedural outcomes of 8788 CTO PCIs performed at 35 US and non-US centers between 2012 and 2022. In-hospital major adverse cardiac events (MACE) included death, myocardial infarction, urgent repeat target-vessel revascularization, tamponade requiring pericardiocentesis or surgery, and stroke...
December 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/38030360/the-retrograde-approach-to-chronic%C3%A2-total-occlusion-percutaneous-coronary-interventions-technical-analysis-and-procedural-outcomes
#6
MULTICENTER STUDY
Salman S Allana, Spyridon Kostantinis, Athanasios Rempakos, Bahadir Simsek, Judit Karacsonyi, Michaella Alexandrou, James W Choi, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskii, Sevket Gorgulu, Rhian Davies, Stewart Benton, Dimitrios Karmpaliotis, Farouc A Jaffer, Jaikirshan J Khatri, Paul Poommipanit, Lorenzo Azzalini, Kathleen Kearney, Raj Chandwaney, William Nicholson, Wissam Jaber, Stephane Rinfret, Jarrod Frizzell, Taral Patel, Brian Jefferson, Nazif Aygul, Bavana V Rangan, Emmanouil S Brilakis
BACKGROUND: Retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is associated with lower success and higher complication rates when compared with the antegrade approach. OBJECTIVES: This study sought to assess contemporary techniques and outcomes of retrograde CTO PCI. METHODS: We examined the baseline characteristics, procedural techniques and outcomes of 4,058 retrograde CTO PCIs performed at 44 centers between 2012 and 2023...
November 27, 2023: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/37983649/international-survey-of-chronic-total-occlusion-percutaneous-coronary-intervention-operators
#7
JOURNAL ARTICLE
Bahadir Simsek, Athanasios Rempakos, Spyridon Kostantinis, Michaella Alexandrou, Judit Karacsonyi, Bavana V Rangan, Olga C Mastrodemos, Deniz Mutlu, Nidal Abi Rafeh, Khaldoon Alaswad, Alexandre Avran, Lorenzo Azzalini, Ahmed ElGuindy, Mohaned Egred, Omer Goktekin, Sevket Gorgulu, Wissam Jaber, Kathleen E Kearney, Ajay J Kirtane, William L Lombardi, Kambis Mashayekhi, Margaret McEntegart, William Nicholson, Stephane Rinfret, Salman S Allana, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
BACKGROUND: Contemporary chronic total occlusion (CTO) percutaneous coronary intervention (PCI) practice has received limited study. AIM: To examine the contemporary CTO PCI practice. METHODS: We performed an online, anonymous, international survey of CTO PCI operators. RESULTS: Five hundred forty-five CTO PCI operators and 190 interventional cardiology fellows with an interest in CTO PCI participated in this survey...
November 20, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37983108/impact-of-target-vessel-on-the-procedural-techniques-and-outcomes-of-chronic-total-occlusion-percutaneous-coronary-intervention
#8
JOURNAL ARTICLE
Spyridon Kostantinis, Athanasios Rempakos, Bahadir Simsek, Judit Karacsonyi, Salman S Allana, Khaldoon Alaswad, Mir Babar Basir, Rhian E Davies, Stewart M Benton, Oleg Krestyaninov, Dmitrii Khelimskii, Wissam A Jaber, Stephane Rinfret, William Nicholson, Jarrod Frizzell, Farouc A Jaffer, Jaikirshan J Khatri, Paul Poommipanit, James W Choi, Raj Chandwaney, Brian K Jefferson, Taral N Patel, Karim M Al-Azizi, Srinivasa Potluri, Nazif Aygul, Ahmed M ElGuindy, Nidal Abi Rafeh, Omer Goktekin, Michaella Alexandrou, Olga C Mastrodemos, Bavana V Rangan, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis, Sevket Gorgulu
BACKGROUND: There is limited information on the impact of the target vessel on the procedural techniques and outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). METHODS: We analyzed the baseline clinical and angiographic characteristics and procedural outcomes of 11,580 CTO PCIs performed between 2012 and 2022 at 44 centers. RESULTS: The most common CTO target vessel was the right coronary artery (RCA) (53.1%) followed by the left anterior descending artery (LAD) (26...
September 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37890004/intravascular-lithotripsy-compared-to-rotational-atherectomy-for-the-treatment-of-calcified-distal-left-main-coronary-artery-disease-a-single-center-experience
#9
JOURNAL ARTICLE
Pratik B Sandesara, Malika Elhage Hassan, Nikoloz Shekiladze, Ahmad Al Turk, Sakolwat Montrivade, Daniel Gold, Bryan Kindya, Stephane Rinfret, William J Nicholson, Wissam A Jaber
BACKGROUND: The safety and efficacy of intravascular lithotripsy (IVL) for the treatment of calcified distal left main (LM) disease remains unclear, especially compared to rotational atherectomy (RA). METHODS: We retrospectively analyzed the baseline clinical, angiographic, intravascular ultrasound (IVUS) characteristics and procedural outcomes of 107 patients who underwent distal LM percutaneous coronary intervention (PCI) with IVL (with or without adjunct atherectomy) versus RA alone for plaque modification before stenting at a single center between 2020 and 2022...
November 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37884112/everolimus-versus-zotarolimus-eluting-stents-in-chronic-total-occlusion-percutaneous-coronary-intervention-insights-from-the-progress-cto-registry
#10
JOURNAL ARTICLE
Michaella Alexandrou, Athanasios Rempakos, Deniz Mutlu, Ahmed Al Ogaili, James W Choi, Paul Poommipanit, Jaikirshan J Khatri, Luiz F Ybarra, Wissam Jaber, Stephane Rinfret, William Nicholson, Lorenzo Azzalini, Kathleen E Kearney, Sevket Gorgulu, Ahmed M ElGuindy, Nidal Abi Rafeh, Oleg Krestyaninov, Dmitrii Khelimskii, Omer Goktekin, Bavana V Rangan, Olga C Mastrodemos, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
No abstract text is available yet for this article.
October 24, 2023: American Journal of Cardiology
https://read.qxmd.com/read/37877912/trends-and-outcomes-of-antegrade-dissection-and-re-entry-in-chronic-total%C3%A2-occlusion-percutaneous-coronary%C3%A2-intervention
#11
JOURNAL ARTICLE
Athanasios Rempakos, Michaella Alexandrou, Bahadir Simsek, Spyridon Kostantinis, Judit Karacsonyi, Deniz Mutlu, Luiz F Ybarra, Rodrigo Bagur, James W Choi, Paul Poommipanit, Jaikirshan J Khatri, Rhian Davies, Stewart Benton, Sevket Gorgulu, Farouc A Jaffer, Raj Chandwaney, Wissam Jaber, Stephane Rinfret, William Nicholson, Lorenzo Azzalini, Kathleen E Kearney, Jimmy L Kerrigan, Elias V Haddad, Khaldoon Alaswad, Mir B Basir, Oleg Krestyaninov, Dmitrii Khelimskii, Nidal Abi-Rafeh, Ahmed ElGuindy, Omer Goktekin, Bavana V Rangan, Olga C Mastrodemos, Ahmed Al-Ogaili, Salman S Allana, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
BACKGROUND: The contemporary frequency and outcomes of antegrade dissection and re-entry (ADR) for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have received limited study. OBJECTIVES: The aim of this study was to determine the frequency and outcomes of ADR use in a large multicenter CTO PCI registry. METHODS: The characteristics and outcomes of ADR were examined among 12,568 patients who underwent 12,841 CTO PCIs at 46 U...
October 9, 2023: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/37823784/the-tip-in-and-rendezvous-techniques-in-retrograde-chronic-total-occlusion-percutaneous-coronary-interventions
#12
JOURNAL ARTICLE
Salman S Allana, Athanasios Rempakos, Spyridon Kostantinis, Michaella Alexandrou, Deniz Multu, Khaldoon Alaswad, Lorenzo Azzalini, Kathleen Kearney, Oleg Krestyaninov, Dmitrii Khelimskii, Sevket Gorgulu, Raj H Chandwaney, Farouc A Jaffer, Jaikirshan J Khatri, Rhian E Davies, Stewart M Benton, James W Choi, Dimitrios Karmpaliotis, Paul Poommipanit, William Nicholson, Wissam Jaber, Stephane Rinfret, Jarrod Frizzel, Taral Patel, Brian Jefferson, Nazif Aygul, Omar Goktekin, Ahmed ElGuindy, Nidal Abi-Rafeh, Bavana V Rangan, M Nicholas Burke, Yader Sandoval, Emmanouil S Brilakis
No abstract text is available yet for this article.
October 12, 2023: EuroIntervention
https://read.qxmd.com/read/37774471/use-of-the-carlino-technique-in-chronic-total-occlusion-percutaneous-coronary-intervention
#13
JOURNAL ARTICLE
Michaella Alexandrou, Athanasios Rempakos, Ahmed Al Ogaili, James W Choi, Paul Poommipanit, Jaikirshan J Khatri, Basem Elbarouni, Michael P Love, Wissam Jaber, Stephane Rinfret, William Nicholson, Raj Chandwaney, Lorenzo Azzalini, Kathleen E Kearney, Ahmed M ElGuindy, Nidal Abi Rafeh, Oleg Krestyaninov, Dmitrii Khelimskii, Omer Goktekin, Sevket Gorgulu, Mauro Carlino, Luiz F Ybarra, Jarrod D Frizzell, Bavana V Rangan, Olga C Mastrodemos, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
We examined the outcomes of the Carlino technique in chronic total occlusion (CTO) percutaneous coronary interventions (PCIs). We analyzed the baseline clinical and angiographic characteristics and outcomes of 128 CTO PCIs that included the Carlino technique at 22 US and no-US centers between 2016 and 2023. The Carlino technique was used in 128 (2.8%) of 4,508 cases that used anterograde dissection and reentry (78.9%) or the retrograde approach (21.1%) during the study period, and it increased steadily over time (from 0...
September 27, 2023: American Journal of Cardiology
https://read.qxmd.com/read/37769619/frequency-and-outcomes-of-ad-hoc-chronic-total-occlusion-percutaneous-coronary-intervention-insights-from-the-progress-cto-registry
#14
JOURNAL ARTICLE
Bahadir Simsek, Athanasios Rempakos, Spyridon Kostantinis, Judit Karacsonyi, Stephane Rinfret, Wissam Jaber, William Nicholson, Sevket Gorgulu, Khaldoon Alaswad, Jaikirshan Khatri, Paul Poommipanit, Nazif Aygul, Oleg Krestyanino, Dmitrii Khelimskii, Barry Uretsky, Omer Goktekin, Philip Dattilo, Srinivasa Potluri, Karim Al-Azizi, Olga C Mastrodemos, Bavana V Rangan, Salman S Allana, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
BACKGROUND: Although discouraged, ad hoc chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is occasionally performed. METHODS: We examined the clinical, angiographic characteristics, and procedural outcomes of patients who underwent ad hoc CTO PCI in the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO, NCT02061436). RESULTS: Of the 10,998 patients included in the registry, 899 (8.2%) underwent ad hoc CTO PCI...
July 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37586120/outcomes-of-chronic-total-occlusion-percutaneous-coronary-interventions-in-patients-with-previous-coronary-artery-bypass-graft-surgery
#15
JOURNAL ARTICLE
Michaella Alexandrou, Spyridon Kostantinis, Athanasios Rempakos, Bahadir Simsek, Judit Karacsonyi, James W Choi, Paul Poommipanit, Khaldoon Alaswad, Mir Bahar Basir, Michael Megaly, Rhian Davies, Stewart Benton, Farouc A Jaffer, Dimitrios Karmpaliotis, Lorenzo Azzalini, Kathleen E Kearney, Ahmed M ElGuindy, Nidal Abi Rafeh, Omer Goktekin, Sevket Gorgulu, Jaikirshan J Khatri, Nazif Aygul, Wissam Jaber, William Nicholson, Stephane Rinfret, Oleg Krestyaninov, Dmitrii Khelimskii, Bavana V Rangan, Olga C Mastrodemos, Salman S Allana, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
The outcomes of chronic total occlusion (CTO) percutaneous coronary interventions (PCIs) in patients with previous coronary artery bypass graft (CABG) surgery have received limited study. We examined the baseline characteristics and outcomes of CTO PCIs performed at 47 United States and non-United States centers between 2012 and 2023. Of the 12,164 patients who underwent CTO PCI during the study period, 3,475 (29%) had previous CABG. Previous CABG patients were older, more likely to be men, and had more comorbidities and lower left ventricular ejection fraction and estimated glomerular filtration rate...
August 14, 2023: American Journal of Cardiology
https://read.qxmd.com/read/37560823/incidence-mechanisms-treatment-and-outcomes-of-donor-vessel-injury-during-percutaneous-coronary-interventions-for-chronic-total-occlusion
#16
JOURNAL ARTICLE
Spyridon Kostantinis, Athanasios Rempakos, Bahadir Simsek, Judit Karacsonyi, Salman S Allana, Khaldoon Alaswad, Mir B Basir, Oleg Krestyaninov, Dmitrii Khelimskii, Sevket Gorgulu, Rhian E Davies, Stewart M Benton, Jaikirshan J Khatri, Paul Poommipanit, James W Choi, Wissam A Jaber, Stephane Rinfret, William Nicholson, Karim M Al-Azizi, Srinivasa Potluri, Nazif Aygul, Bulent B Altunkeser, Michael Koutouzis, Ioannis Tsiafoutis, Anastasios Milkas, Ahmed M ElGuindy, Nidal Abi Rafeh, Omer Goktekin, Olga C Mastrodemos, Bavana V Rangan, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
BACKGROUND: Donor vessel injury is a potentially life-threatening complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). AIMS: Our goal was to examine the incidence, mechanisms, treatment, and outcomes of patients with donor vessel injury in a large multicenter CTO PCI registry. METHODS: We analyzed the baseline clinical and angiographic characteristics, and procedural outcomes of 12,349 CTO PCIs performed between 2012 and 2022 at 44 centers...
August 10, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37522283/star-procedure-becomes-safer-first-in-man-case-series-of-a-new-antegrade-dissection-re-entry-technique
#17
JOURNAL ARTICLE
Mauro Carlino, Barry F Uretsky, Lorenzo Azzalini, Angelo Nascimbene, Emmanouil S Brilakis, Antonio Colombo, Sunao Nakamura, Cosmo Godino, Alexandre Avran, Stéphane Rinfret, Benjamin Faurie
INTRODUCTION: Antegrade dissection and re-entry (ADR) is an integral part of the hybrid algorithm, which has allowed for improved outcomes in chronic total occlusion (CTO) coronary intervention (PCI). METHODS: A new ADR method, Subintimal Antegrade FEnestration and Re-entry (SAFER), is described. The results of a first-in-man series are presented. RESULTS: SAFER was performed on seven consecutive patients with angiographic and clinical success in all patients...
July 31, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37380231/distal-target-vessel-quality-and-outcomes-of-chronic-total-occlusion-percutaneous-coronary-intervention
#18
JOURNAL ARTICLE
Salman S Allana, Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, Athanasois Rempakos, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskiid, Dimitrios Karmpaliotis, Farouc A Jaffer, Jaikirshan J Khatri, Paul Poommipanit, Mitul P Patel, Ehtisham Mahmud, Michael Koutouzis, Ioannis Tsiafoutis, Sevket Gorgulu, Basem Elbarouni, William Nicholson, Wissam Jaber, Stephane Rinfret, Nidal Abi Rafeh, Omer Goktekin, Ahmed M ElGuindy, Yader Sandoval, M Nicholas Burke, Bavana V Rangan, Emmanouil S Brilakis
BACKGROUND: Distal vessel quality is a key parameter in the global chronic total occlusion (CTO) crossing algorithm. OBJECTIVES: The study sought to evaluate the association of distal vessel quality with the outcomes of CTO percutaneous coronary intervention. METHODS: We examined the clinical and angiographic characteristics and procedural outcomes of 10,028 CTO percutaneous coronary interventions performed at 39 U.S. and non-U.S. centers between 2012 and 2022...
June 26, 2023: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/37172209/aortocoronary-dissection-during-percutaneous-coronary-interventions-for-chronic-total-occlusion-insights-from-the-progress-cto-registry
#19
JOURNAL ARTICLE
Spyridon Kostantinis, Athanasios Rempakos, Bahadir Simsek, Judit Karacsonyi, Salman S Allana, Khaldoon Alaswad, Mir Babar Basir, Oleg Krestyaninov, Dmitrii Khelimskii, Sevket Gorgulu, Rhian E Davies, Stewart M Benton, Jaikirshan J Khatri, Paul Poommipanit, James W Choi, Wissam A Jaber, Stephane Rinfret, William Nicholson, Nazif Aygul, Bulent Behlul Altunkeser, Ahmed M ElGuindy, Nidal Abi Rafeh, Omer Goktekin, Olga C Mastrodemos, Bavana V Rangan, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
BACKGROUND: Aortocoronary dissection is a potentially serious complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). METHODS: We examined the incidence, mechanisms, treatment, and outcomes of aortocoronary dissection among 12,117 CTO PCIs performed between 2012 and 2022 in a large multicenter CTO PCI registry. RESULTS: The incidence of aortocoronary dissection was 0.2% (n = 27). Most aortocoronary dissections occurred in the right coronary artery (96...
May 12, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37156067/procedural-time-and-outcomes-of-chronic-total-occlusion-percutaneous-coronary-intervention
#20
JOURNAL ARTICLE
Athanasios Rempakos, Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, James W Choi, Paul Poommipanit, Jaikirshan J Khatri, Wissam Jaber, Stephane Rinfret, William Nicholson, Sevket Gorgulu, Farouc A Jaffer, Raj Chandwaney, Luiz F Ybarra, Rodrigo Bagur, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskii, Dimitrios Karmpaliotis, Barry F Uretsky, Korhan Soylu, Ufuk Yildirim, Srinivasa Potluri, Karim M Al-Azizi, Bavana V Rangan, Olga C Mastrodemos, Salman Allana, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
Chronic total occlusion (CTO) percutaneous coronary interventions (PCIs) can be lengthy procedures. We sought to investigate the effect of procedural time on CTO PCI outcomes. We examined the procedural time required for the various steps of CTO PCI in 6,442 CTO PCIs at 40 US and non-US centers between 2012 and 2022. The mean and median procedure times were 129 ± 76 and 112 minutes, respectively, with no significant change over time. The median times from access to wire insertion, guidewire manipulation time, and post crossing were 20, 32, and 53 minutes, respectively...
June 15, 2023: American Journal of Cardiology
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