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Assessing the landscape of percutaneous coronary chronic total occlusion treatment in Belgium and Luxembourg
- Source :
- Acta cardiologica
- Publication Year :
- 2017
- Publisher :
- Acta Cardiologica, 2017.
-
Abstract
- Background: Important developments in materials, devices, and techniques have improved outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), and resulted in a growing interest in CTO-PCI. The Belgian Working Group on Chronic Total Occlusions (BWGCTO) working group aims to assess the evolution within the CTO-PCI landscape over the next years. Methods: From May 2016 onwards, patients undergoing CTO-PCI were included in the BWGCTO registry by 15 centres in Belgium and Luxemburg. Baseline, angiographic, and procedural data were collected. Here, we report on the one-year in-hospital outcomes. Results: Over the course of one year, 411 procedures in 388 patients were included with a mean age of 64 ± 11 years. The majority were male (81%). Relatively complex CTOs were treated (Japanese CTO score =2.2 ± 1.2) with a high procedure success rate (82%). Patient- and lesion-wise success rates were 83 and 85%, respectively. Major adverse in-hospital events were acceptably low (3.4%). Antegrade wire escalation technique was applied most frequently (82%). On the other hand, antegrade dissection and re-entry and retrograde strategies were more frequently applied in higher volume centres and successful for lesions with higher complexity. Conclusion: Satisfactory procedural outcomes and a low rate of adverse events were obtained in a complex CTO population, treated by operators with variable experience levels. Antegrade wire escalation was the preferred strategy, regardless of operator volume.
- Subjects :
- Male
medicine.medical_specialty
Percutaneous
Luxembourg
medicine.medical_treatment
Population
030204 cardiovascular system & hematology
Total occlusion
03 medical and health sciences
0302 clinical medicine
Percutaneous Coronary Intervention
Belgium
medicine
Journal Article
Humans
030212 general & internal medicine
Registries
education
Adverse effect
chronic total occlusion
education.field_of_study
business.industry
Percutaneous coronary intervention
Mean age
General Medicine
Middle Aged
Surgery
Dissection
Treatment Outcome
Conventional PCI
Female
Human medicine
Cardiology and Cardiovascular Medicine
business
in-hospital outcomes
Subjects
Details
- Language :
- English
- ISSN :
- 00015385
- Database :
- OpenAIRE
- Journal :
- Acta cardiologica
- Accession number :
- edsair.doi.dedup.....040ebc8d401d6d499a08dd14b491b2fb