Abstract 20015: Clinical Presentation of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry
IntroductionWe examined the clinical presentation of patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter registry.MethodsThe baseline clinical and angiographic characteristics and procedural outcomes of 1,268 patients who underwent CTO PCI betw...
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| Veröffentlicht in: | Circulation (New York, N.Y.) N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A20015-A20015 |
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| creator | Karacsonyi, Judit Alaswad, Khaldoon Karmpaliotis, Dimitri Jaffer, Farouc A Yeh, Robert W Patel, Mitul Bahadorani, John Doing, Anthony Toma, Catalin Choi, James Uretsky, Barry Grantham, Aaron Moses, Jeffrey W Kirtane, Ajay Parikh, Manish Ali, Ziad Lombardi, William Kandzari, David Lembo, Nicholas Garcia, Santiago Wyman, Michael R Karatasakis, Aris Martinez Parachini, Jose R Alame, Aya J Danek, Barbara A Resendes, Erica Rangan, Bavana V Ungi, Imre Thompson, Craig A Banerjee, Subhash Brilakis, Emmanouil S |
| description | IntroductionWe examined the clinical presentation of patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter registry.MethodsThe baseline clinical and angiographic characteristics and procedural outcomes of 1,268 patients who underwent CTO PCI between 2012 and 2016 at 12 US centers were analyzed.ResultsThe study population was divided to 5 groups based on the clinical presentation of CTOsstable angina (59.0%), unstable angina (21.9%), ST-segment-elevation acute myocardial infarction (STEMI, 1.5%), non-ST segment elevation acute myocardial infarction (NSTEMI, 6.4%), symptoms unlikely to be ischemic or no symptoms (11.2%). Mean age was 65.7 ± 10 years and 86% were men. NSTEMI patients were more likely to have diabetes mellitus (63%, p=0.020) and patients presenting with STEMI had the lowest left ventricular ejection fraction (43 ± 20%, p |
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| fullrecord | <record><control><sourceid>wolterskluwer</sourceid><recordid>TN_cdi_wolterskluwer_health_00003017-201611111-03428</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>00003017-201611111-03428</sourcerecordid><originalsourceid>FETCH-wolterskluwer_health_00003017-201611111-034283</originalsourceid><addsrcrecordid>eNqdj01OwzAQhS0EEuHnDnMBS46dNLQ7FFHBAhGhsq6MmSYG10b-oeqVOCUTiRN0NjNP872nmTNW1a1seNOq5TmrhBBL3ikpL9lVSp8kF6prK_Z7_55y1CaDFKJuV9A7663RDoaICX3W2QYPYQcDTaQTvPkPjGOwfoR-ioFo2IRMjhdjXEkzPmA0JWuPoSToA0E6HuHJZ4w_lEHIilSy40R56xj2oAmj9f47xBl9Li5bg7MBXnG0dOPxhl3stEt4-9-vWbN-2PSP_BAccenLlQPG7YTa5WlLHwol6o5LUS_qubhQjbxTJ9r-AF6oaY0</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Abstract 20015: Clinical Presentation of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry</title><source>American Heart Association</source><source>Journals@Ovid Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Karacsonyi, Judit ; Alaswad, Khaldoon ; Karmpaliotis, Dimitri ; Jaffer, Farouc A ; Yeh, Robert W ; Patel, Mitul ; Bahadorani, John ; Doing, Anthony ; Toma, Catalin ; Choi, James ; Uretsky, Barry ; Grantham, Aaron ; Moses, Jeffrey W ; Kirtane, Ajay ; Parikh, Manish ; Ali, Ziad ; Lombardi, William ; Kandzari, David ; Lembo, Nicholas ; Garcia, Santiago ; Wyman, Michael R ; Karatasakis, Aris ; Martinez Parachini, Jose R ; Alame, Aya J ; Danek, Barbara A ; Resendes, Erica ; Rangan, Bavana V ; Ungi, Imre ; Thompson, Craig A ; Banerjee, Subhash ; Brilakis, Emmanouil S</creator><creatorcontrib>Karacsonyi, Judit ; Alaswad, Khaldoon ; Karmpaliotis, Dimitri ; Jaffer, Farouc A ; Yeh, Robert W ; Patel, Mitul ; Bahadorani, John ; Doing, Anthony ; Toma, Catalin ; Choi, James ; Uretsky, Barry ; Grantham, Aaron ; Moses, Jeffrey W ; Kirtane, Ajay ; Parikh, Manish ; Ali, Ziad ; Lombardi, William ; Kandzari, David ; Lembo, Nicholas ; Garcia, Santiago ; Wyman, Michael R ; Karatasakis, Aris ; Martinez Parachini, Jose R ; Alame, Aya J ; Danek, Barbara A ; Resendes, Erica ; Rangan, Bavana V ; Ungi, Imre ; Thompson, Craig A ; Banerjee, Subhash ; Brilakis, Emmanouil S</creatorcontrib><description>IntroductionWe examined the clinical presentation of patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter registry.MethodsThe baseline clinical and angiographic characteristics and procedural outcomes of 1,268 patients who underwent CTO PCI between 2012 and 2016 at 12 US centers were analyzed.ResultsThe study population was divided to 5 groups based on the clinical presentation of CTOsstable angina (59.0%), unstable angina (21.9%), ST-segment-elevation acute myocardial infarction (STEMI, 1.5%), non-ST segment elevation acute myocardial infarction (NSTEMI, 6.4%), symptoms unlikely to be ischemic or no symptoms (11.2%). Mean age was 65.7 ± 10 years and 86% were men. NSTEMI patients were more likely to have diabetes mellitus (63%, p=0.020) and patients presenting with STEMI had the lowest left ventricular ejection fraction (43 ± 20%, p<.0001). Patients presenting with unstable angina were more complex, had more calcified lesions (64%, p=0.002), more ambiguous proximal cap (41%, p=0.002) and the highest J-CTO scores (2.90 ± 1.20, p=0.0002). Also patients with unstable angina had the longest fluoroscopy time (55 [33, 83] min, p<.0001), but air kerma radiation doses and contrast volume were similar among groups. In-hospital technical and procedural success and major cardiac adverse event rates were similar between groups (Figure 1).ConclusionsMost patients undergoing CTO PCI present with stable angina, although approximately 1 in 4 present with an acute coronary syndrome. Technical and procedural success and the incidence of major cardiac adverse events were high and similar among study groups.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><language>eng</language><publisher>by the American College of Cardiology Foundation and the American Heart Association, Inc</publisher><ispartof>Circulation (New York, N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A20015-A20015</ispartof><rights>2016 by the American College of Cardiology Foundation and the American Heart Association, Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Karacsonyi, Judit</creatorcontrib><creatorcontrib>Alaswad, Khaldoon</creatorcontrib><creatorcontrib>Karmpaliotis, Dimitri</creatorcontrib><creatorcontrib>Jaffer, Farouc A</creatorcontrib><creatorcontrib>Yeh, Robert W</creatorcontrib><creatorcontrib>Patel, Mitul</creatorcontrib><creatorcontrib>Bahadorani, John</creatorcontrib><creatorcontrib>Doing, Anthony</creatorcontrib><creatorcontrib>Toma, Catalin</creatorcontrib><creatorcontrib>Choi, James</creatorcontrib><creatorcontrib>Uretsky, Barry</creatorcontrib><creatorcontrib>Grantham, Aaron</creatorcontrib><creatorcontrib>Moses, Jeffrey W</creatorcontrib><creatorcontrib>Kirtane, Ajay</creatorcontrib><creatorcontrib>Parikh, Manish</creatorcontrib><creatorcontrib>Ali, Ziad</creatorcontrib><creatorcontrib>Lombardi, William</creatorcontrib><creatorcontrib>Kandzari, David</creatorcontrib><creatorcontrib>Lembo, Nicholas</creatorcontrib><creatorcontrib>Garcia, Santiago</creatorcontrib><creatorcontrib>Wyman, Michael R</creatorcontrib><creatorcontrib>Karatasakis, Aris</creatorcontrib><creatorcontrib>Martinez Parachini, Jose R</creatorcontrib><creatorcontrib>Alame, Aya J</creatorcontrib><creatorcontrib>Danek, Barbara A</creatorcontrib><creatorcontrib>Resendes, Erica</creatorcontrib><creatorcontrib>Rangan, Bavana V</creatorcontrib><creatorcontrib>Ungi, Imre</creatorcontrib><creatorcontrib>Thompson, Craig A</creatorcontrib><creatorcontrib>Banerjee, Subhash</creatorcontrib><creatorcontrib>Brilakis, Emmanouil S</creatorcontrib><title>Abstract 20015: Clinical Presentation of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry</title><title>Circulation (New York, N.Y.)</title><description>IntroductionWe examined the clinical presentation of patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter registry.MethodsThe baseline clinical and angiographic characteristics and procedural outcomes of 1,268 patients who underwent CTO PCI between 2012 and 2016 at 12 US centers were analyzed.ResultsThe study population was divided to 5 groups based on the clinical presentation of CTOsstable angina (59.0%), unstable angina (21.9%), ST-segment-elevation acute myocardial infarction (STEMI, 1.5%), non-ST segment elevation acute myocardial infarction (NSTEMI, 6.4%), symptoms unlikely to be ischemic or no symptoms (11.2%). Mean age was 65.7 ± 10 years and 86% were men. NSTEMI patients were more likely to have diabetes mellitus (63%, p=0.020) and patients presenting with STEMI had the lowest left ventricular ejection fraction (43 ± 20%, p<.0001). Patients presenting with unstable angina were more complex, had more calcified lesions (64%, p=0.002), more ambiguous proximal cap (41%, p=0.002) and the highest J-CTO scores (2.90 ± 1.20, p=0.0002). Also patients with unstable angina had the longest fluoroscopy time (55 [33, 83] min, p<.0001), but air kerma radiation doses and contrast volume were similar among groups. In-hospital technical and procedural success and major cardiac adverse event rates were similar between groups (Figure 1).ConclusionsMost patients undergoing CTO PCI present with stable angina, although approximately 1 in 4 present with an acute coronary syndrome. Technical and procedural success and the incidence of major cardiac adverse events were high and similar among study groups.</description><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqdj01OwzAQhS0EEuHnDnMBS46dNLQ7FFHBAhGhsq6MmSYG10b-oeqVOCUTiRN0NjNP872nmTNW1a1seNOq5TmrhBBL3ikpL9lVSp8kF6prK_Z7_55y1CaDFKJuV9A7663RDoaICX3W2QYPYQcDTaQTvPkPjGOwfoR-ioFo2IRMjhdjXEkzPmA0JWuPoSToA0E6HuHJZ4w_lEHIilSy40R56xj2oAmj9f47xBl9Li5bg7MBXnG0dOPxhl3stEt4-9-vWbN-2PSP_BAccenLlQPG7YTa5WlLHwol6o5LUS_qubhQjbxTJ9r-AF6oaY0</recordid><startdate>20161111</startdate><enddate>20161111</enddate><creator>Karacsonyi, Judit</creator><creator>Alaswad, Khaldoon</creator><creator>Karmpaliotis, Dimitri</creator><creator>Jaffer, Farouc A</creator><creator>Yeh, Robert W</creator><creator>Patel, Mitul</creator><creator>Bahadorani, John</creator><creator>Doing, Anthony</creator><creator>Toma, Catalin</creator><creator>Choi, James</creator><creator>Uretsky, Barry</creator><creator>Grantham, Aaron</creator><creator>Moses, Jeffrey W</creator><creator>Kirtane, Ajay</creator><creator>Parikh, Manish</creator><creator>Ali, Ziad</creator><creator>Lombardi, William</creator><creator>Kandzari, David</creator><creator>Lembo, Nicholas</creator><creator>Garcia, Santiago</creator><creator>Wyman, Michael R</creator><creator>Karatasakis, Aris</creator><creator>Martinez Parachini, Jose R</creator><creator>Alame, Aya J</creator><creator>Danek, Barbara A</creator><creator>Resendes, Erica</creator><creator>Rangan, Bavana V</creator><creator>Ungi, Imre</creator><creator>Thompson, Craig A</creator><creator>Banerjee, Subhash</creator><creator>Brilakis, Emmanouil S</creator><general>by the American College of Cardiology Foundation and the American Heart Association, Inc</general><scope/></search><sort><creationdate>20161111</creationdate><title>Abstract 20015: Clinical Presentation of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry</title><author>Karacsonyi, Judit ; Alaswad, Khaldoon ; Karmpaliotis, Dimitri ; Jaffer, Farouc A ; Yeh, Robert W ; Patel, Mitul ; Bahadorani, John ; Doing, Anthony ; Toma, Catalin ; Choi, James ; Uretsky, Barry ; Grantham, Aaron ; Moses, Jeffrey W ; Kirtane, Ajay ; Parikh, Manish ; Ali, Ziad ; Lombardi, William ; Kandzari, David ; Lembo, Nicholas ; Garcia, Santiago ; Wyman, Michael R ; Karatasakis, Aris ; Martinez Parachini, Jose R ; Alame, Aya J ; Danek, Barbara A ; Resendes, Erica ; Rangan, Bavana V ; Ungi, Imre ; Thompson, Craig A ; Banerjee, Subhash ; Brilakis, Emmanouil S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-wolterskluwer_health_00003017-201611111-034283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Karacsonyi, Judit</creatorcontrib><creatorcontrib>Alaswad, Khaldoon</creatorcontrib><creatorcontrib>Karmpaliotis, Dimitri</creatorcontrib><creatorcontrib>Jaffer, Farouc A</creatorcontrib><creatorcontrib>Yeh, Robert W</creatorcontrib><creatorcontrib>Patel, Mitul</creatorcontrib><creatorcontrib>Bahadorani, John</creatorcontrib><creatorcontrib>Doing, Anthony</creatorcontrib><creatorcontrib>Toma, Catalin</creatorcontrib><creatorcontrib>Choi, James</creatorcontrib><creatorcontrib>Uretsky, Barry</creatorcontrib><creatorcontrib>Grantham, Aaron</creatorcontrib><creatorcontrib>Moses, Jeffrey W</creatorcontrib><creatorcontrib>Kirtane, Ajay</creatorcontrib><creatorcontrib>Parikh, Manish</creatorcontrib><creatorcontrib>Ali, Ziad</creatorcontrib><creatorcontrib>Lombardi, William</creatorcontrib><creatorcontrib>Kandzari, David</creatorcontrib><creatorcontrib>Lembo, Nicholas</creatorcontrib><creatorcontrib>Garcia, Santiago</creatorcontrib><creatorcontrib>Wyman, Michael R</creatorcontrib><creatorcontrib>Karatasakis, Aris</creatorcontrib><creatorcontrib>Martinez Parachini, Jose R</creatorcontrib><creatorcontrib>Alame, Aya J</creatorcontrib><creatorcontrib>Danek, Barbara A</creatorcontrib><creatorcontrib>Resendes, Erica</creatorcontrib><creatorcontrib>Rangan, Bavana V</creatorcontrib><creatorcontrib>Ungi, Imre</creatorcontrib><creatorcontrib>Thompson, Craig A</creatorcontrib><creatorcontrib>Banerjee, Subhash</creatorcontrib><creatorcontrib>Brilakis, Emmanouil S</creatorcontrib><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karacsonyi, Judit</au><au>Alaswad, Khaldoon</au><au>Karmpaliotis, Dimitri</au><au>Jaffer, Farouc A</au><au>Yeh, Robert W</au><au>Patel, Mitul</au><au>Bahadorani, John</au><au>Doing, Anthony</au><au>Toma, Catalin</au><au>Choi, James</au><au>Uretsky, Barry</au><au>Grantham, Aaron</au><au>Moses, Jeffrey W</au><au>Kirtane, Ajay</au><au>Parikh, Manish</au><au>Ali, Ziad</au><au>Lombardi, William</au><au>Kandzari, David</au><au>Lembo, Nicholas</au><au>Garcia, Santiago</au><au>Wyman, Michael R</au><au>Karatasakis, Aris</au><au>Martinez Parachini, Jose R</au><au>Alame, Aya J</au><au>Danek, Barbara A</au><au>Resendes, Erica</au><au>Rangan, Bavana V</au><au>Ungi, Imre</au><au>Thompson, Craig A</au><au>Banerjee, Subhash</au><au>Brilakis, Emmanouil S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abstract 20015: Clinical Presentation of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><date>2016-11-11</date><risdate>2016</risdate><volume>134</volume><issue>Suppl_1 Suppl 1</issue><spage>A20015</spage><epage>A20015</epage><pages>A20015-A20015</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract>IntroductionWe examined the clinical presentation of patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter registry.MethodsThe baseline clinical and angiographic characteristics and procedural outcomes of 1,268 patients who underwent CTO PCI between 2012 and 2016 at 12 US centers were analyzed.ResultsThe study population was divided to 5 groups based on the clinical presentation of CTOsstable angina (59.0%), unstable angina (21.9%), ST-segment-elevation acute myocardial infarction (STEMI, 1.5%), non-ST segment elevation acute myocardial infarction (NSTEMI, 6.4%), symptoms unlikely to be ischemic or no symptoms (11.2%). Mean age was 65.7 ± 10 years and 86% were men. NSTEMI patients were more likely to have diabetes mellitus (63%, p=0.020) and patients presenting with STEMI had the lowest left ventricular ejection fraction (43 ± 20%, p<.0001). Patients presenting with unstable angina were more complex, had more calcified lesions (64%, p=0.002), more ambiguous proximal cap (41%, p=0.002) and the highest J-CTO scores (2.90 ± 1.20, p=0.0002). Also patients with unstable angina had the longest fluoroscopy time (55 [33, 83] min, p<.0001), but air kerma radiation doses and contrast volume were similar among groups. In-hospital technical and procedural success and major cardiac adverse event rates were similar between groups (Figure 1).ConclusionsMost patients undergoing CTO PCI present with stable angina, although approximately 1 in 4 present with an acute coronary syndrome. Technical and procedural success and the incidence of major cardiac adverse events were high and similar among study groups.</abstract><pub>by the American College of Cardiology Foundation and the American Heart Association, Inc</pub></addata></record> |
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| source | American Heart Association; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals |
| title | Abstract 20015: Clinical Presentation of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Contemporary Multicenter Registry |
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