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http://hdl.handle.net/1942/26413
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DC Field | Value | Language |
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dc.contributor.author | MAEREMANS, Joren | - |
dc.contributor.author | Avran, Alexandre | - |
dc.contributor.author | Walsh, Simon | - |
dc.contributor.author | Knaapen, Paul | - |
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 | 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 | Irving, John | - |
dc.contributor.author | Ladwiniec, Andrew | - |
dc.contributor.author | Spratt, James C. | - |
dc.contributor.author | DENS, Jo | - |
dc.date.accessioned | 2018-07-25T13:10:30Z | - |
dc.date.available | 2018-07-25T13:10:30Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | JOURNAL OF INVASIVE CARDIOLOGY, 30(2), p. 62-70 | - |
dc.identifier.issn | 1042-3931 | - |
dc.identifier.uri | http://hdl.handle.net/1942/26413 | - |
dc.description.abstract | Objectives. Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) has historically been associated with higher event rates during follow-up. The hybrid algorithm and contemporary wiring and dissection re-entry (DR) techniques can potentially improve long-term outcomes after CTO-PCI. This study assessed the long-term clinical outcomes of the hybrid CTO practice, when applied by operators with varying experience levels. Methods. We examined the 1-year clinical events after hospital discharge of the RECHARGE population, according to technical outcome and final technique. The primary endpoint was major adverse cardiac event (MACE) rate. Centers that provided >= 90% complete 12-month follow-up were included. Results. Follow-up data of 1067 out of 1165 patients (92%) were provided by 13 centers. Mean follow-up duration was 362.8 +/- 0.9 days. One-year MACE-free survival rate was 91.3% (974/1067). MACE included death (1.9%; n = 20), myocardial infarction (1.4%; n = 15), target-vessel failure (5.9%; n = 63), and target-vessel revascularization (TVR) (5.5%; n = 59). Non-TVR was performed in 6.7% (n = 71). MACE was significantly in favor of successful CTO-PCI (8.0% vs 13%; P=.04), even after adjusting for baseline differences (adjusted hazard ratio, 0.59; 95% confidence interval, 0.36-0.98; P=.04). Other events, including individual MACE components, were comparable with respect to technical outcome and final technique (DR vs non-DR techniques). Conclusions. The use of the hybrid algorithm with contemporary techniques by moderate to highly experienced operators for CTO-PCI is safe and associated with a low 1-year event rate. Successful procedures are associated with a better MACE rate. DR techniques can be used as first-line strategies alongside intimal wiring techniques without compromising clinical outcomes. | - |
dc.description.sponsorship | This research project is supported by a research grant from Boston Scientific. Joren Maeremans is a researcher for the Limburg Clinical Research Program (LCRP) UHasselt-ZOL-Jessa, supported by the foundation Limburg Sterk Merk (LSM), Hasselt University, Ziekenhuis Oost-Limburg and Jessa Hospital. | - |
dc.language.iso | en | - |
dc.subject.other | percutaneous coronary intervention; chronic total occlusion; follow-up | - |
dc.title | One-Year Clinical Outcomes of the Hybrid CTO Revascularization Strategy After Hospital Discharge: A Subanalysis of the Multicenter RECHARGE Registry | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 70 | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 62 | - |
dc.identifier.volume | 30 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Dens, J (reprint author), Ziekenhuis Oost Limburg, Dept Cardiol, Schiepse Bos 6, B-3600 Genk, Belgium. jo.dens@zol.be | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.isi | 000429488500008 | - |
dc.identifier.url | https://www.researchgate.net/publication/321107442_One-Year_Clinical_Outcomes_of_the_Hybrid_CTO_Revascularization_Strategy_after_Hospital_Discharge_A_Subanalysis_of_the_Multicenter_RECHARGE_Registry | - |
item.validation | ecoom 2019 | - |
item.fulltext | With Fulltext | - |
item.fullcitation | MAEREMANS, Joren; Avran, Alexandre; Walsh, Simon; Knaapen, Paul; Hanratty, Colm G.; Faurie, Benjamin; Agostoni, Pierfrancesco; Bressollette, Erwan; Kayaert, Peter; Smith, Dave; Chase, Alexander; Mcentegart, Margaret B.; Smith, William H. T.; Harcombe, Alun; Irving, John; Ladwiniec, Andrew; Spratt, James C. & DENS, Jo (2018) One-Year Clinical Outcomes of the Hybrid CTO Revascularization Strategy After Hospital Discharge: A Subanalysis of the Multicenter RECHARGE Registry. In: JOURNAL OF INVASIVE CARDIOLOGY, 30(2), p. 62-70. | - |
item.accessRights | Restricted Access | - |
item.contributor | MAEREMANS, Joren | - |
item.contributor | Avran, Alexandre | - |
item.contributor | Walsh, Simon | - |
item.contributor | Knaapen, Paul | - |
item.contributor | Hanratty, Colm G. | - |
item.contributor | Faurie, Benjamin | - |
item.contributor | Agostoni, Pierfrancesco | - |
item.contributor | Bressollette, Erwan | - |
item.contributor | Kayaert, Peter | - |
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 | Irving, John | - |
item.contributor | Ladwiniec, Andrew | - |
item.contributor | Spratt, James C. | - |
item.contributor | DENS, Jo | - |
crisitem.journal.issn | 1042-3931 | - |
crisitem.journal.eissn | 1557-2501 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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Recharge1yearfollowuppaper.pdf Restricted Access | Early view | 1.16 MB | Adobe PDF | View/Open Request a copy |
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