Retrograde Recanalization of Chronic Total Occlusions in Europe: Procedural, In-Hospital, and Long-Term Outcomes From the Multicenter ERCTO Registry.

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RESEARCH PRODUCT

Retrograde Recanalization of Chronic Total Occlusions in Europe: Procedural, In-Hospital, and Long-Term Outcomes From the Multicenter ERCTO Registry.

Ar Galassi G Sianos Gs Werner J Escaned Sd Tomasello M Boukhris M Castaing Jh Buttner A Bufe A Kalnins Jc Spratt R Garbo D Hildick-smith S Elhadad A Gagnor B Lauer L Bryniarski Eh Christiansen L Thuesen M Meyer-gessner O Goktekin M Carlino Y Louvard T Lefevre A Lismanis Vl Gelev A Serra F Marza C Di Mario N Reifart

subject

Male Time Factors Incidence Middle Aged Coronary Angiography Settore MED/11 - Malattie Dell'Apparato Cardiovascolare Hospitals Europe Electrocardiography Percutaneous Coronary Intervention Postoperative Complications Treatment Outcome Coronary Occlusion chronic total occlusions J-CTO score Chronic Disease Humans retrograde PCI revascularization Female Hospital Mortality Prospective Studies Registries chronic total occlusion Follow-Up Studies

description

BACKGROUND A retrograde approach improves the success rate of percutaneous coronary interventions (PCIs) for chronic total occlusions (CTOs). OBJECTIVES The authors describe the European experience with and outcomes of retrograde PCI revascularization for coronary CTOs. METHODS Follow-up data were collected from 1,395 patients with 1,582 CTO lesions enrolled between January 2008 and December 2012 for retrograde CTO PCI at 44 European centers. Major adverse cardiac and cerebrovascular events were defined as the composite of cardiac death, myocardial infarction, stroke, and further revascularization. RESULTS The mean patient age was 62.0 +/- 10.4 years; 88.5% were men. Procedural and clinical success rates were 75.3% and 71.2%, respectively. The mean clinical follow-up duration was 24.7 +/- 15.0 months. Compared with patients with failed retrograde PCI, successfully revascularized patients showed lower rates of cardiac death (0.6% vs. 4.3%, respectively; p = 3 (HR: 2.08; 95% CI: 1.32 to 3.27; p = 0.002), and procedural failure (HR: 2.48; 95% CI: 1.72 to 3.57; p < 0.001) were independent predictors of major adverse cardiac and cerebrovascular events at long-term follow-up. CONCLUSIONS The number of retrograde procedures in Europe has increased, with high percents of success, low rates of major complications, and good long-term outcomes. (C) 2015 by the American College of Cardiology Foundation.

year	journal	country	edition	language
2015-01-01	Journal of the American College of Cardiology

10.1016/j.jacc.2015.03.566 https://pubmed.ncbi.nlm.nih.gov/26046733