Outcomes of chronic total occlusion percutaneous coronary intervention from the RAIAN (RAjaie - Iran) registry
Indian Heart Journal, ISSN: 0019-4832, Vol: 75, Issue: 6, Page: 429-435
2023
- 7Captures
- 1Mentions
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Captures7
- Readers7
- Mentions1
- News Mentions1
- News1
Most Recent News
CTO PCI significantly improves Angina symptoms and QoL without affecting MACE
A groundbreaking study from Iran has brought fresh perspectives to the field of chronic total occlusion (CTO) interventions, where most of the existing evidence originates
Article Description
While most of the evidence in CTO interventions emerge from Western and Japanese studies, few data have been published up today from the Middle East. Objective of this study was to evaluate technical success rates and clinical outcomes of an Iranian population undergoing CTO PCI in a tertiary referral hospital. Moreover, we sought to evaluate the efficacy of our CTO teaching program. This is a retrospective single-center cohort study including 790 patients who underwent CTO PCI performed by operators with different volumes of CTOs PCI performed per year. According to PCI result, all patients have been divided into successful ( n = 555, 70.3 %) and unsuccessful ( n = 235, 29.7 %) groups. Study endpoints were Major Adverse Cardiovascular Events and Health Status Improvement evaluated using the Seattle Angina Questionnaire at one year. A global success rate of 70 % for antegrade and 80 % for retrograde approach was shown despite the lack of some CTO-dedicated devices. During the enrollment period, the success rate increased significantly among operators with a lower number of CTO procedures per year. One-year MACE rate was similar in both successful and unsuccessful groups (13.5 % in successful and 10.6 % in unsuccessful group, p = 0.173). One year patients’ health status improved significantly only in successful group. No significant differences of in-hospital and one-year MACE were found between the successful and unsuccessful groups. Angina symptoms and quality of life significantly improved after successful CTO PCI. The RAIAN registry confirmed the importance of operator expertise for CTO PCI success.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0019483223001669; http://dx.doi.org/10.1016/j.ihj.2023.10.002; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85174834879&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/37866775; https://linkinghub.elsevier.com/retrieve/pii/S0019483223001669; https://dx.doi.org/10.1016/j.ihj.2023.10.002
Elsevier BV
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