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http://hdl.handle.net/1942/22820
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DC Field | Value | Language |
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dc.contributor.author | MAEREMANS, Joren | - |
dc.contributor.author | Walsh, Simon | - |
dc.contributor.author | Knaapen, Paul | - |
dc.contributor.author | Spratt, James C. | - |
dc.contributor.author | Avran, Alexandre | - |
dc.contributor.author | Hanratty, Colm G. | - |
dc.contributor.author | Faurie, Benjamin | - |
dc.contributor.author | Agostoni, Pierfrancesco | - |
dc.contributor.author | Bressollette, Erwan | - |
dc.contributor.author | Kayaert, Peter | - |
dc.contributor.author | Bagnall, Alan J. | - |
dc.contributor.author | Egred, Mohaned | - |
dc.contributor.author | Smith, Dave | - |
dc.contributor.author | Chase, Alexander | - |
dc.contributor.author | McEntegart, Margaret B. | - |
dc.contributor.author | Smith, William H. T. | - |
dc.contributor.author | Harcombe, Alun | - |
dc.contributor.author | Kelly, Paul | - |
dc.contributor.author | Irving, John | - |
dc.contributor.author | Smith, Elliot J. | - |
dc.contributor.author | Strange, Julian W. | - |
dc.contributor.author | DENS, Jo | - |
dc.date.accessioned | 2016-12-01T10:33:12Z | - |
dc.date.available | 2016-12-01T10:33:12Z | - |
dc.date.issued | 2016 | - |
dc.identifier.citation | JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 68(18), p. 1958-1970 | - |
dc.identifier.issn | 0735-1097 | - |
dc.identifier.uri | http://hdl.handle.net/1942/22820 | - |
dc.description.abstract | BACKGROUND The hybrid algorithm for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) was developed to improve procedural outcomes. Large, prospective studies validating the algorithm in a broad multicenter setting with operators of different experience levels are lacking. OBJECTIVES The RECHARGE (REgistry of Crossboss and Hybrid procedures in FrAnce, the NetheRlands, BelGium and UnitEd Kingdom) registry aims to report achievable results using the hybrid algorithm. METHODS Between January 2014 and October 2015, consecutive patients undergoing hybrid CTO-PCI were prospectively enrolled in 17 centers. Procedural techniques, outcomes, and in-hospital complications were analyzed. RESULTS A total of 1,253 CTO-PCIs were performed in 1,177 patients, of which 86% were men. Mean age was 66 +/- 11 years. The average Japanese CTO score was 2.0 +/- 1.0, and was higher in the failure group (2.6 +/- 0.6 vs. 1.9 +/- 1.0; p < 0.001). Overall procedure success was 86% and major in-hospital complications occurred in 2.6%. Antegrade wire escalation was the preferred primary strategy in 77%, followed by retrograde (17%) and antegrade dissection re-entry strategies (7%). Primary strategies were successful in 60%. Consecutive strategies were applied in 34% and were successful in 74%. Antegrade dissection re-entry and retrograde strategies were the most common bailout strategies and were successful in 67% and 62%, respectively. Median procedure and fluoroscopy time were 90 (interquartile range [ IQR]: 60 to 120) min and 35 (IQR: 21 to 55) min, contrast volume was 250 (IQR: 180 to 340) ml, and radiation doses (air kerma and dose area product) were 1.6 (IQR: 1.0 to 2.7) Gy and 98 (IQR: 57 to 168) Gy.cm(2), respectively. CONCLUSIONS High procedure and patient success rates, combined with a low event rate and improved procedural characteristics, support further use of the hybrid algorithm for a broad community of appropriately trained CTO operators. | - |
dc.description.sponsorship | This research project is supported by a research grant from Boston Scientific (Marlborough, Massachusetts). Dr. Maeremans is researcher for the Limburg Clinical Research Program UHasselt-ZOL-Jessa, supported by the foundation Limburg Sterk Merk, Hasselt University, Ziekenhuis Oost-Limburg, and Jessa Hospital. Drs. Walsh has served as a consultant for Abbott Vascular, Boston Scientific, Medtronic, and Vascular Solutions; and has received research funding from Abbott Vascular, Boston Scientific, and Nitiloop. Drs. Knaapen, Spratt, and Bressollette have served as proctors for and received proctor honoraria from Boston Scientific. Dr. Avran has received grants from Abbott Vascular, Boston Scientific, and Biosensor for teaching courses and proctoring. Dr. Hanratty has served as consultant for Abbott Vascular, Boston Scientific, Medtronic, and Vascular Solutions. Dr. Faurie has served as a proctor for Boston Scientific; and as a consultant for CORDIS. Dr. Bagnall has received proctor and speaker fees from Abbott Vascular and AstraZeneca. Dr. Egred has served as a proctor for and received honoraria from Boston Scientific, Abbott Vascular, Vascular Perspectives, Volcano, and Spectranetics. Dr. Elliot Smith has served as a proctor for Boston Scientific; and received honoraria from Vascular Solutions, Abbott Vascular, Vascular Perspectives, and Cardi Red. Dr. Kelly has served on the advisory boards of Boston Scientific and Abbott Vascular. Dr. Irving has served as a proctor for Boston Scientific and Vascular Perspectives. Dr. Dens has received grants from TopMedical (distributor of Asahi Intecc Co. Materials), Boston Scientific, and Orbus Neich for teaching courses and proctoring. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose. | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.rights | (C) 2016 by the American College of Cardiology Foundation | - |
dc.subject.other | chronic total occlusion; hybrid; percutaneous coronary intervention | - |
dc.subject.other | chronic total occlusion; hybrid; percutaneous coronary intervention | - |
dc.title | The Hybrid Algorithm for Treating Chronic Total Occlusions in Europe The RECHARGE Registry | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 1970 | - |
dc.identifier.issue | 18 | - |
dc.identifier.spage | 1958 | - |
dc.identifier.volume | 68 | - |
local.format.pages | 13 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | [Maeremans, Joren; Dens, Joseph] Univ Hasselt, Fac Med & Life Sci, Hasselt, Belgium. [Maeremans, Joren; Dens, Joseph] Ziekenhuis Oost Limburg, Dept Cardiol, Schiepse Bos 6, B-3600 Genk, Belgium. [Walsh, Simon; Hanratty, Colm G.] Belfast City Hosp, Dept Cardiol, Belfast, Antrim, North Ireland. [Knaapen, Paul] Vrije Univ Amsterdam, Med Ctr, Dept Cardiol, Amsterdam, Netherlands. [Spratt, James C.] Forth Valley Royal Hosp, Dept Cardiol, Edinburgh, Midlothian, Scotland. [Avran, Alexandre] Clin Marignane, Dept Cardiol, Marignane, France. [Faurie, Benjamin] Grp Hosp Mutualiste, Dept Cardiol, Grenoble, France. [Agostoni, Pierfrancesco] Univ Med Ctr Utrecht, Dept Cardiol, Utrecht, Netherlands. [Agostoni, Pierfrancesco] St Antonius Hosp, Dept Cardiol, Nieuwegein, Netherlands. [Bressollette, Erwan] Nouvelles Clin Nantaises, Dept Cardiol, Nantes, France. [Kayaert, Peter] Univ Ziekenhuis Brussel, Dept Cardiol, Brussels, Belgium. [Bagnall, Alan J.; Egred, Mohaned] Freeman Rd Hosp, Dept Cardiol, Newcastle Upon Tyne, Tyne & Wear, England. [Bagnall, Alan J.; Egred, Mohaned] Newcastle Univ, Inst Cellular Med, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England. [Smith, Dave; Chase, Alexander] Morriston Hosp, Dept Cardiol, Swansea, W Glam, Wales. [McEntegart, Margaret B.] Golden Jubilee Natl Hosp, Dept Cardiol, Glasgow, Lanark, Scotland. [Smith, William H. T.; Harcombe, Alun] Univ Nottingham Hosp, Dept Cardiol, Nottingham, England. [Kelly, Paul] Basildon Hosp, Essex Cardiothorac Ctr, Dept Cardiol, Basildon, Essex, England. [Irving, John] Ninewells Hosp, Dept Cardiol, Dundee, Scotland. [Smith, Elliot J.] Barts Hlth NHS Trust, Barts Heart Ctr, Dept Cardiol, London, England. [Strange, Julian W.] Bristol Heart Inst, Dept Cardiol, Bristol, Avon, England. | - |
local.publisher.place | NEW YORK | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.class | dsPublValOverrule/author_version_not_expected | - |
dc.identifier.doi | 10.1016/j.jacc.2016.08.034 | - |
dc.identifier.isi | 000386828100005 | - |
item.validation | ecoom 2017 | - |
item.accessRights | Restricted Access | - |
item.fullcitation | MAEREMANS, Joren; Walsh, Simon; Knaapen, Paul; Spratt, James C.; Avran, Alexandre; Hanratty, Colm G.; Faurie, Benjamin; Agostoni, Pierfrancesco; Bressollette, Erwan; Kayaert, Peter; Bagnall, Alan J.; Egred, Mohaned; Smith, Dave; Chase, Alexander; McEntegart, Margaret B.; Smith, William H. T.; Harcombe, Alun; Kelly, Paul; Irving, John; Smith, Elliot J.; Strange, Julian W. & DENS, Jo (2016) The Hybrid Algorithm for Treating Chronic Total Occlusions in Europe The RECHARGE Registry. In: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 68(18), p. 1958-1970. | - |
item.fulltext | With Fulltext | - |
item.contributor | MAEREMANS, Joren | - |
item.contributor | Walsh, Simon | - |
item.contributor | Knaapen, Paul | - |
item.contributor | Spratt, James C. | - |
item.contributor | Avran, Alexandre | - |
item.contributor | Hanratty, Colm G. | - |
item.contributor | Faurie, Benjamin | - |
item.contributor | Agostoni, Pierfrancesco | - |
item.contributor | Bressollette, Erwan | - |
item.contributor | Kayaert, Peter | - |
item.contributor | Bagnall, Alan J. | - |
item.contributor | Egred, Mohaned | - |
item.contributor | Smith, Dave | - |
item.contributor | Chase, Alexander | - |
item.contributor | McEntegart, Margaret B. | - |
item.contributor | Smith, William H. T. | - |
item.contributor | Harcombe, Alun | - |
item.contributor | Kelly, Paul | - |
item.contributor | Irving, John | - |
item.contributor | Smith, Elliot J. | - |
item.contributor | Strange, Julian W. | - |
item.contributor | DENS, Jo | - |
crisitem.journal.issn | 0735-1097 | - |
crisitem.journal.eissn | 1558-3597 | - |
Appears in Collections: | Research publications |
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maeremans 1.pdf Restricted Access | Published version | 1.35 MB | Adobe PDF | View/Open Request a copy |
Figure_1_DENS_JACC.tif Restricted Access | Supplementary material | 6.46 MB | TIFF | View/Open Request a copy |
Figure_2_DENS_JACC.tif Restricted Access | Supplementary material | 11.41 MB | TIFF | View/Open Request a copy |
Central_illustration_DENS_JACC.tif Restricted Access | Supplementary material | 33.3 MB | TIFF | View/Open Request a copy |
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