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Title
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Assessing the landscape of percutaneous coronary chronic total occlusion treatment in Belgium and Luxembourg : the Belgian Working Group on Chronic Total Occlusions (BWGCTO) registry.
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Author
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Abstract
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| 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. |
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Language
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English
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Source (journal)
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Acta cardiologica. - Bruxelles
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Publication
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Bruxelles
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2018
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ISSN
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0001-5385
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DOI
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10.1080/00015385.2017.1408891
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Volume/pages
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73
:5
(2018)
, p. 427-436
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ISI
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000453410600002
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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