Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions

Siddharth M. Patel, Rohan V. Menon, M. Nicolas Burke, Farouc A. Jaffer, Robert W. Yeh, Minh Vo, DImitri Karmpaliotis, Lorenzo Azzalini, Mauro Carlino, Kambis Mashayekhi, Alfredo R. Galassi, Stephane Rinfret, Stephen G. Ellis, Mitul Patel, Bavana V. Rangan, Aris Karatasakis, Barbara A. Danek, Judit Karacsonyi, Erica Resendes, Subhash Banerjee & 1 others Emmanouil S. Brilakis

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVES: We sought to examine contemporary perspectives and practices on chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND: The frequency and success of CTO-PCI have been increasing in recent years. METHODS: An online questionnaire was created and distributed to cardiologists within the United States and internationally. RESULTS: A total of 1149 responses were obtained. The United States (n ≤ 845; 73.5%), Asia (n ≤ 98; 8.5%), Europe (n ≤ 88; 7.7%), South America (n ≤ 42; 3.7%), and Canada (n ≤ 33; 2.9%) accounted for most responses. Mean practice duration of the respondents was 16.4 ± 11.5 years and 66.9% were interventional cardiologists. Most respondents agreed that CTO-PCI results in an improvement of patient symptoms (90.7%), left ventricular function (79.3%), arrhythmia risk (69.2%), and overall survival (63.1%). Interventional cardiologists had a more favorable view of the benefits of CTO-PCI as compared with non-interventional cardiologists (P<.001). Most respondents estimated the procedural success rates of contemporary CTO-PCI to be between 51%-75% (34.2%) and 76%-85% (30.2%), with interventional cardiologists estimating higher success rates than non-interventionalists (P<.001). Perforation, mortality, and tamponade were the three most concerning complications. Time and procedure complexity were reported to be the most significant barriers to the development of a CTO-PCI program. CONCLUSIONS: Most cardiologists believe that CTO-PCI can provide significant clinical benefits and can be accomplished with moderate to high success rates. Interventional cardiologists have a more favorable view of CTO-PCI as compared with non-invasive cardiologists.

Original languageEnglish (US)
Pages (from-to)43-50
Number of pages8
JournalJournal of Invasive Cardiology
Volume30
Issue number2
StatePublished - Feb 1 2018

Fingerprint

Percutaneous Coronary Intervention
Cardiologists
South America
Left Ventricular Function
Canada
Cardiac Arrhythmias
Survival
Mortality
Surveys and Questionnaires

Keywords

  • chronic total occlusion
  • complications
  • percutaneous coronary intervention
  • procedural success
  • techniques

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Patel, S. M., Menon, R. V., Burke, M. N., Jaffer, F. A., Yeh, R. W., Vo, M., ... Brilakis, E. S. (2018). Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions. Journal of Invasive Cardiology, 30(2), 43-50.

Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions. / Patel, Siddharth M.; Menon, Rohan V.; Burke, M. Nicolas; Jaffer, Farouc A.; Yeh, Robert W.; Vo, Minh; Karmpaliotis, DImitri; Azzalini, Lorenzo; Carlino, Mauro; Mashayekhi, Kambis; Galassi, Alfredo R.; Rinfret, Stephane; Ellis, Stephen G.; Patel, Mitul; Rangan, Bavana V.; Karatasakis, Aris; Danek, Barbara A.; Karacsonyi, Judit; Resendes, Erica; Banerjee, Subhash; Brilakis, Emmanouil S.

In: Journal of Invasive Cardiology, Vol. 30, No. 2, 01.02.2018, p. 43-50.

Research output: Contribution to journalArticle

Patel, SM, Menon, RV, Burke, MN, Jaffer, FA, Yeh, RW, Vo, M, Karmpaliotis, DI, Azzalini, L, Carlino, M, Mashayekhi, K, Galassi, AR, Rinfret, S, Ellis, SG, Patel, M, Rangan, BV, Karatasakis, A, Danek, BA, Karacsonyi, J, Resendes, E, Banerjee, S & Brilakis, ES 2018, 'Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions', Journal of Invasive Cardiology, vol. 30, no. 2, pp. 43-50.
Patel SM, Menon RV, Burke MN, Jaffer FA, Yeh RW, Vo M et al. Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions. Journal of Invasive Cardiology. 2018 Feb 1;30(2):43-50.
Patel, Siddharth M. ; Menon, Rohan V. ; Burke, M. Nicolas ; Jaffer, Farouc A. ; Yeh, Robert W. ; Vo, Minh ; Karmpaliotis, DImitri ; Azzalini, Lorenzo ; Carlino, Mauro ; Mashayekhi, Kambis ; Galassi, Alfredo R. ; Rinfret, Stephane ; Ellis, Stephen G. ; Patel, Mitul ; Rangan, Bavana V. ; Karatasakis, Aris ; Danek, Barbara A. ; Karacsonyi, Judit ; Resendes, Erica ; Banerjee, Subhash ; Brilakis, Emmanouil S. / Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions. In: Journal of Invasive Cardiology. 2018 ; Vol. 30, No. 2. pp. 43-50.
@article{4f531094bcc4442780a651c48c6568f2,
title = "Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions",
abstract = "OBJECTIVES: We sought to examine contemporary perspectives and practices on chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND: The frequency and success of CTO-PCI have been increasing in recent years. METHODS: An online questionnaire was created and distributed to cardiologists within the United States and internationally. RESULTS: A total of 1149 responses were obtained. The United States (n ≤ 845; 73.5{\%}), Asia (n ≤ 98; 8.5{\%}), Europe (n ≤ 88; 7.7{\%}), South America (n ≤ 42; 3.7{\%}), and Canada (n ≤ 33; 2.9{\%}) accounted for most responses. Mean practice duration of the respondents was 16.4 ± 11.5 years and 66.9{\%} were interventional cardiologists. Most respondents agreed that CTO-PCI results in an improvement of patient symptoms (90.7{\%}), left ventricular function (79.3{\%}), arrhythmia risk (69.2{\%}), and overall survival (63.1{\%}). Interventional cardiologists had a more favorable view of the benefits of CTO-PCI as compared with non-interventional cardiologists (P<.001). Most respondents estimated the procedural success rates of contemporary CTO-PCI to be between 51{\%}-75{\%} (34.2{\%}) and 76{\%}-85{\%} (30.2{\%}), with interventional cardiologists estimating higher success rates than non-interventionalists (P<.001). Perforation, mortality, and tamponade were the three most concerning complications. Time and procedure complexity were reported to be the most significant barriers to the development of a CTO-PCI program. CONCLUSIONS: Most cardiologists believe that CTO-PCI can provide significant clinical benefits and can be accomplished with moderate to high success rates. Interventional cardiologists have a more favorable view of CTO-PCI as compared with non-invasive cardiologists.",
keywords = "chronic total occlusion, complications, percutaneous coronary intervention, procedural success, techniques",
author = "Patel, {Siddharth M.} and Menon, {Rohan V.} and Burke, {M. Nicolas} and Jaffer, {Farouc A.} and Yeh, {Robert W.} and Minh Vo and DImitri Karmpaliotis and Lorenzo Azzalini and Mauro Carlino and Kambis Mashayekhi and Galassi, {Alfredo R.} and Stephane Rinfret and Ellis, {Stephen G.} and Mitul Patel and Rangan, {Bavana V.} and Aris Karatasakis and Danek, {Barbara A.} and Judit Karacsonyi and Erica Resendes and Subhash Banerjee and Brilakis, {Emmanouil S.}",
year = "2018",
month = "2",
day = "1",
language = "English (US)",
volume = "30",
pages = "43--50",
journal = "Journal of Invasive Cardiology",
issn = "1042-3931",
publisher = "HMP Communications",
number = "2",

}

TY - JOUR

T1 - Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions

AU - Patel, Siddharth M.

AU - Menon, Rohan V.

AU - Burke, M. Nicolas

AU - Jaffer, Farouc A.

AU - Yeh, Robert W.

AU - Vo, Minh

AU - Karmpaliotis, DImitri

AU - Azzalini, Lorenzo

AU - Carlino, Mauro

AU - Mashayekhi, Kambis

AU - Galassi, Alfredo R.

AU - Rinfret, Stephane

AU - Ellis, Stephen G.

AU - Patel, Mitul

AU - Rangan, Bavana V.

AU - Karatasakis, Aris

AU - Danek, Barbara A.

AU - Karacsonyi, Judit

AU - Resendes, Erica

AU - Banerjee, Subhash

AU - Brilakis, Emmanouil S.

PY - 2018/2/1

Y1 - 2018/2/1

N2 - OBJECTIVES: We sought to examine contemporary perspectives and practices on chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND: The frequency and success of CTO-PCI have been increasing in recent years. METHODS: An online questionnaire was created and distributed to cardiologists within the United States and internationally. RESULTS: A total of 1149 responses were obtained. The United States (n ≤ 845; 73.5%), Asia (n ≤ 98; 8.5%), Europe (n ≤ 88; 7.7%), South America (n ≤ 42; 3.7%), and Canada (n ≤ 33; 2.9%) accounted for most responses. Mean practice duration of the respondents was 16.4 ± 11.5 years and 66.9% were interventional cardiologists. Most respondents agreed that CTO-PCI results in an improvement of patient symptoms (90.7%), left ventricular function (79.3%), arrhythmia risk (69.2%), and overall survival (63.1%). Interventional cardiologists had a more favorable view of the benefits of CTO-PCI as compared with non-interventional cardiologists (P<.001). Most respondents estimated the procedural success rates of contemporary CTO-PCI to be between 51%-75% (34.2%) and 76%-85% (30.2%), with interventional cardiologists estimating higher success rates than non-interventionalists (P<.001). Perforation, mortality, and tamponade were the three most concerning complications. Time and procedure complexity were reported to be the most significant barriers to the development of a CTO-PCI program. CONCLUSIONS: Most cardiologists believe that CTO-PCI can provide significant clinical benefits and can be accomplished with moderate to high success rates. Interventional cardiologists have a more favorable view of CTO-PCI as compared with non-invasive cardiologists.

AB - OBJECTIVES: We sought to examine contemporary perspectives and practices on chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND: The frequency and success of CTO-PCI have been increasing in recent years. METHODS: An online questionnaire was created and distributed to cardiologists within the United States and internationally. RESULTS: A total of 1149 responses were obtained. The United States (n ≤ 845; 73.5%), Asia (n ≤ 98; 8.5%), Europe (n ≤ 88; 7.7%), South America (n ≤ 42; 3.7%), and Canada (n ≤ 33; 2.9%) accounted for most responses. Mean practice duration of the respondents was 16.4 ± 11.5 years and 66.9% were interventional cardiologists. Most respondents agreed that CTO-PCI results in an improvement of patient symptoms (90.7%), left ventricular function (79.3%), arrhythmia risk (69.2%), and overall survival (63.1%). Interventional cardiologists had a more favorable view of the benefits of CTO-PCI as compared with non-interventional cardiologists (P<.001). Most respondents estimated the procedural success rates of contemporary CTO-PCI to be between 51%-75% (34.2%) and 76%-85% (30.2%), with interventional cardiologists estimating higher success rates than non-interventionalists (P<.001). Perforation, mortality, and tamponade were the three most concerning complications. Time and procedure complexity were reported to be the most significant barriers to the development of a CTO-PCI program. CONCLUSIONS: Most cardiologists believe that CTO-PCI can provide significant clinical benefits and can be accomplished with moderate to high success rates. Interventional cardiologists have a more favorable view of CTO-PCI as compared with non-invasive cardiologists.

KW - chronic total occlusion

KW - complications

KW - percutaneous coronary intervention

KW - procedural success

KW - techniques

UR - http://www.scopus.com/inward/record.url?scp=85041296570&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041296570&partnerID=8YFLogxK

M3 - Article

VL - 30

SP - 43

EP - 50

JO - Journal of Invasive Cardiology

JF - Journal of Invasive Cardiology

SN - 1042-3931

IS - 2

ER -