Further validation of the hybrid algorithm for CTO PCI; difficult lesions, same success

Document Type

Article

Publication Date

7-1-2017

Publication Title

Cardiovasc Revasc Med

Abstract

OBJECTIVES: To evaluate the success rates and outcome of the hybrid algorithm for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) by a single operator in two different clinical settings.

METHODS: We compared 279 consecutive CTO PCIs performed by a single, high-volume operator using the hybrid algorithm in two different clinical settings. Data were collected through the PROGRESS CTO Registry. We compared 145 interventions performed in a community program (cohort A) with 134 interventions performed in a referral center (cohort B).

RESULTS: Patient in cohort B had more complex lesions with higher J-CTO (3.0 vs. 3.41; p

CONCLUSIONS: In spite of higher lesion complexity in the setting of a quaternary-care referral center, use of the hybrid algorithm for CTO PCI enabled similarly high technical and procedural success rates as compared with those previously achieved by the same operator in a community-based program at the expense of a higher rate of MACE.

Medical Subject Headings

Aged; Aged, 80 and over; Algorithms; Chronic Disease; Cohort Studies; Coronary Angiography; Coronary Occlusion; Female; Humans; Male; Middle Aged; Percutaneous Coronary Intervention; Registries; Risk Factors; Treatment Outcome

PubMed ID

28314674

Volume

18

Issue

5

First Page

328

Last Page

331

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