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Two-year clinical outcomes of medical therapy vs. revascularization for patients with coronary chronic total occlusion
- Source :
- Hellenic Journal of Cardiology, Vol 61, Iss 4, Pp 264-271 (2020)
- Publication Year :
- 2020
- Publisher :
- Elsevier, 2020.
-
Abstract
- Objectives: There are little data on the long-term clinical outcomes of medical therapy (MT) compared with revascularization in patients with chronic total occlusions (CTOs). Methods: Between January 2007 and December 2016, a total of 1655 patients with ≥1 CTO were enrolled in our center and were divided into the MT group (n = 800) and revascularization group (n = 855) according to the initial treatment strategy. Propensity score matching was also performed to adjust for baseline characteristics. The primary outcome was cardiac death. Results: After 2 years of follow-up, there was no significant difference between the two groups with regard to the prevalence of cardiac death (MT vs. revascularization: 6.6% vs. 4.2%, adjusted hazard ratio [HR] 0.95, 95% confidence interval [CI] 0.60–1.49, p = 0.820). In the propensity-matched population (406 pairs), there were no significant differences in the prevalence of cardiac death (MT vs. revascularization: 5.4% vs. 4.7%, HR 0.88, 95% CI 0.48–1.63, p = 0.694), except for target vessel revascularization (TVR) (0.44, 0.31–0.63,
Details
- Language :
- English
- ISSN :
- 11099666
- Volume :
- 61
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Hellenic Journal of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.16f78ceda5f2490fb6dfb26cce5d2092
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.hjc.2019.03.006