Cited 5 times in
Multicenter experience with percutaneous coronary intervention for chronic total occlusion in Korean population: Analysis of the Korean nationwide multicenter chronic total occlusion registry
DC Field | Value | Language |
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dc.contributor.author | 장양수 | - |
dc.contributor.author | 김중선 | - |
dc.contributor.author | 이오현 | - |
dc.date.accessioned | 2021-09-29T02:30:34Z | - |
dc.date.available | 2021-09-29T02:30:34Z | - |
dc.date.issued | 2020-06 | - |
dc.identifier.issn | 0954-6928 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/184947 | - |
dc.description.abstract | Objectives: Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) remains challenging because of limited success and higher target vessel failure rates. Detailed safety and efficacy data for CTO-PCI from a multicenter real-world Korean registry are limited. Methods: Since May 2007, the Korean multicenter retrospective CTO registry has enrolled 3271 patients who underwent CTO-PCI at 26 major medical centers. Baseline clinical, angiographic, and procedural characteristics and 12-month major adverse cardiac event (MACE) rates after PCI were retrospectively collected. Results: Baseline cardiovascular risk factors included: male sex, 73.8%; prior myocardial infarction (MI), 14.8%; prior PCI, 26.6%; hypertension, 62.3%; diabetes mellitus, 34.8%; dyslipidemia, 33.3%; and current smoker, 30.9%. Pre-PCI myocardial viability testing was performed in 23.6% of patients and pre-PCI cardiac computed tomography (CT) in 17.6%. CTO arterial lesions were distributed as follows: right coronary, 41.0%; left anterior descending, 40.0%; left circumflex, 22.5%; and left main, 0.4%. Unfavorable lesion morphology was detected by angiography in 38.1%. Intravascular ultrasound guidance and the retrograde approach were utilized in 23.6 and 3.1% of CTO-PCI procedures, respectively. More than 75% of patients received drug-eluting stents (sirolimus-eluting, 26.5%; paclitaxel-eluting, 23.8%; zotarolimus-eluting, 23.4%; everolimus-eluting, 11.0%; and others, 4.0%). The overall success rate was 81.6% (2672/3271 patients). Twelve-month event rates were: total mortality, 2.4%; any MI, 0.7%; target lesion revascularization, 4.4%; target vessel revascularization, 6.7%; and total MACE, 9.4%. Conclusions: Twelve-month success rates, safety profiles, and cumulative clinical outcomes of Korean CTO patients were favorable post-PCI. Long-term follow-up of larger study populations is necessary to validate our findings. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | CORONARY ARTERY DISEASE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Multicenter experience with percutaneous coronary intervention for chronic total occlusion in Korean population: Analysis of the Korean nationwide multicenter chronic total occlusion registry | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Seung-Woon Rha | - |
dc.contributor.googleauthor | Byoung Geol Choi | - |
dc.contributor.googleauthor | Se Yeon Choi | - |
dc.contributor.googleauthor | Cheol Ung Choi | - |
dc.contributor.googleauthor | Hyeon-Cheol Gwon | - |
dc.contributor.googleauthor | In-Ho Chae | - |
dc.contributor.googleauthor | Hyo-Soo Kim | - |
dc.contributor.googleauthor | Hun Sik Park | - |
dc.contributor.googleauthor | Seung-Hwan Lee | - |
dc.contributor.googleauthor | Moo-Hyun Kim | - |
dc.contributor.googleauthor | Seung-Ho Hur | - |
dc.contributor.googleauthor | Yangsoo Jang | - |
dc.identifier.doi | 10.1097/MCA.0000000000000838 | - |
dc.contributor.localId | A03448 | - |
dc.contributor.localId | A00961 | - |
dc.contributor.localId | A05164 | - |
dc.contributor.localId | A04572 | - |
dc.relation.journalcode | J00649 | - |
dc.identifier.eissn | 1473-5830 | - |
dc.identifier.pmid | 31913165 | - |
dc.identifier.url | https://journals.lww.com/coronary-artery/Fulltext/2020/06000/Multicenter_experience_with_percutaneous_coronary.1.aspx | - |
dc.contributor.alternativeName | Jang, Yang Soo | - |
dc.contributor.affiliatedAuthor | 장양수 | - |
dc.contributor.affiliatedAuthor | 김중선 | - |
dc.contributor.affiliatedAuthor | 이오현 | - |
dc.citation.volume | 31 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 319 | - |
dc.citation.endPage | 326 | - |
dc.identifier.bibliographicCitation | CORONARY ARTERY DISEASE, Vol.31(4) : 319-326, 2020-06 | - |
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