Long-Term Outcome of Percutaneous Coronary Intervention for Chronic Total Occlusions
作者： Roxana Mehran , Bimmer E Claessen , Cosmo Godino , George D Dangas , Kotaro Obunai
DOI: 10.1016/J.JCIN.2011.03.021
关键词: Hazard ratio 、 Percutaneous coronary intervention 、 Interquartile range 、 Internal medicine 、 Cardiology 、 Mace 、 TIMI 、 Coronary occlusion 、 Prospective cohort study 、 Conventional PCI 、 Medicine 、 Surgery
摘要: Objectives The aim of this study was to evaluate long-term clinical outcomes after percutaneous coronary intervention (PCI) for chronic total occlusions (CTO). Background Despite technical advancements, there is a paucity data on PCI CTO. Methods We evaluated in 1,791 patients who underwent 1,852 CTO at 3 tertiary care centers the United States, South Korea, and Italy between 1998 2007. Median follow-up 2.9 years (interquartile range: 1.5 4.6 years). Results Procedural success obtained 1,226 (68%) patients. Stents were implanted 1,160 (95%); 396 (34%) received bare-metal stents (BMS), 764 (66%) drug-eluting (DES). After multivariable analysis, successful an independent predictor lower cardiac mortality (hazard ratio [HR]: 0.40, 95% confidence interval [CI]: 0.21 0.75, p Conclusions Successful associated with reduced need artery bypass graft surgery. Treatment DES rather than BMS significant reduction target vessel revascularization similar rates stent thrombosis. Paclitaxel-eluting sirolimus-eluting had safety efficacy outcomes.
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