In-hospital outcomes of percutaneous coronary intervention in patients with chronic total occlusion: insights from the ERCTO (European Registry of Chronic Total Occlusion) registry.

摘要: AIMS: In comparison with non-occlusive lesions, percutaneous coronary intervention (PCI) of chronic total occlusions (CTO) represents a greater challenge for the interventionalist, due to lower procedural success rates, relatively higher incidence complications and increased rate restenosis. The European Registry Chronic Total Occlusion (ERCTO) was created goal evaluating real impact CTO PCI in context, trying analyse rates success, technical information from procedures patient outcome. METHODS AND RESULTS: Data collection carried out 16 centres across Europe, starting beginning January 2008. two years activity, 1,914 patients 1,983 lesions were consecutively enrolled registry. Overall achieved 1,607 (82.9%); anterograde obtained retrograde ones (83.2% versus 64.5%, p<0.001). Coronary perforation occurred more frequently who underwent approach (4.7% 2.1%, p=0.04). Although no differences observed terms 30-day major adverse cardiac events between treated patients, trend toward periprocedural non-Q-wave myocardial infarction found which attempted (2.1% 1% p=0.08). Moreover, related longer fluoroscopy times (156.9±62.5 min vs. 98.2±52.8 73.3±59.9 38.2±43.9 respectively, p<0.001) contrast load administration (402±161 cc 302±184 cc, CONCLUSIONS: first report ERCTO registry by EuroCTO club shows high expert operators "real-world" consecutive series comparable those reported Japanese registries. low similar non-CTO series. this registry, associated extended exposure time, as well perforations. Such outcomes should become standard care that all undertaking aspire to.