Details

Autor(en) / Beteiligte

• Maeremans, Joren
• Kayaert, Peter
• Bataille, Yoann
• Bennett, Johan
• Ungureanu, Claudiu
• Haine, Steven
• Vandendriessche, Tom
• Sonck, Jeroen
• Scott, Benjamin
• Coussement, Patrick
• Dendooven, Daniël
• Pereira, Bruno
• Frambach, Peter
• Janssens, Luc
• Debruyne, Philippe
• Van Mieghem, Carlos
• Barbato, Emanuele
• Cornelis, Kristoff
• Stammen, Francis
• De Vroey, Frederic
• Vercauteren, Steven
• Drieghe, Benny
• Aminian, Adel
• Debrauwere, Jan
• Carlier, Stéphane
• Coosemans, Mark
• Van Reet, Bert
• Vandergoten, Peter
• Dens, Jo Andre

Titel

Assessing the landscape of percutaneous coronary chronic total occlusion treatment in Belgium and Luxembourg: the Belgian Working Group on Chronic Total Occlusions (BWGCTO) registry

Ist Teil von

• Acta Cardiologica, 2018-09, Vol.73 (5), p.427-436

Ort / Verlag

England: Taylor & Francis

Erscheinungsjahr

2018

Quelle

MEDLINE

Beschreibungen/Notizen

• Background: Important developments in materials, devices, and techniques have improved outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), and resulted in a growing interest in CTO-PCI. The Belgian Working Group on Chronic Total Occlusions (BWGCTO) working group aims to assess the evolution within the CTO-PCI landscape over the next years. Methods: From May 2016 onwards, patients undergoing CTO-PCI were included in the BWGCTO registry by 15 centres in Belgium and Luxemburg. Baseline, angiographic, and procedural data were collected. Here, we report on the one-year in-hospital outcomes. Results: Over the course of one year, 411 procedures in 388 patients were included with a mean age of 64 ± 11 years. The majority were male (81%). Relatively complex CTOs were treated (Japanese CTO score =2.2 ± 1.2) with a high procedure success rate (82%). Patient- and lesion-wise success rates were 83 and 85%, respectively. Major adverse in-hospital events were acceptably low (3.4%). Antegrade wire escalation technique was applied most frequently (82%). On the other hand, antegrade dissection and re-entry and retrograde strategies were more frequently applied in higher volume centres and successful for lesions with higher complexity. Conclusion: Satisfactory procedural outcomes and a low rate of adverse events were obtained in a complex CTO population, treated by operators with variable experience levels. Antegrade wire escalation was the preferred strategy, regardless of operator volume.