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Title: | Assessing the landscape of percutaneous coronary chronic total occlusion treatment in Belgium and Luxembourg: the Belgian Working Group on Chronic Total Occlusions (BWGCTO) registry | Authors: | MAEREMANS, Joren Kayaert, Peter BATAILLE, Yoann Bennett, Johan Ungureanu, Claudiu Haine, Steven Vandendriessche, Tom Sonck, Jeroen Scott, Benjamin Coussement, Patrick Dendooven, Daniel Pereira, Bruno Frambach, Peter Janssens, Luc Debruyne, Philippe Van Mieghem, Carlos Barbato, Emanuele Cornelis, Kristoff Stammen, Francis De Vroey, Frederic Vercauteren, Steven Drieghe, Benny Aminian, Adel Debrauwere, Jan Carlier, Stephane Coosemans, Mark Van Reet, Bert Vandergoten, Peter DENS, Jo |
Issue Date: | 2018 | Publisher: | TAYLOR & FRANCIS LTD | Source: | ACTA CARDIOLOGICA, 73(5), p. 427-436 | Abstract: | 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 6411 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. | Notes: | [Maeremans, Joren; Dens, Jo Andre] Univ Hasselt, Fac Med & Life Sci, Hasselt, Belgium. [Maeremans, Joren; Dens, Jo Andre] Ziekenhuis Oost Limburg, Dept Cardiol, Schiepse Bos 6, B-3600 Genk, Belgium. [Kayaert, Peter; Sonck, Jeroen] Univ Ziekenhuis Brussel, Dept Cardiol, Brussels, Belgium. [Kayaert, Peter; Drieghe, Benny] Univ Ziekenhuis Gent, Dept Cardiol, Ghent, Belgium. [Bataille, Yoann] CHR Citadelle, Dept Cardiol, Liege, Belgium. [Bennett, Johan] Univ Ziekenhuis Leuven, Dept Cardiovasc Med, Leuven, Belgium. [Ungureanu, Claudiu] Hop Jolimont, Dept Cardiol, Haine St Paul, Belgium. [Haine, Steven; Vandendriessche, Tom] Univ Ziekenhuis Antwerpen, Dept Cardiol, Edegem, Belgium. [Scott, Benjamin] Hartcentrum ZNA, Dept Cardiol, Antwerp, Belgium. [Coussement, Patrick; Dendooven, Daniel] AZ Sint Jan Brugge, Dept Cardiol, Brugge, Belgium. [Pereira, Bruno; Frambach, Peter] INCCI Haerz Zenter, Dept Cardiol, Luxembourg, Luxembourg. [Janssens, Luc; Debruyne, Philippe] Imelda Ziekenhuis, Dept Cardiol, Bonheiden, Belgium. [Van Mieghem, Carlos; Barbato, Emanuele] Onze Lieve Vrouw Ziekenhuis Aalst, Dept Cardiol, Aalst, Belgium. [Cornelis, Kristoff] AZ Maria Middelares, Dept Cardiol, Ghent, Belgium. [Stammen, Francis] AZ Delta, Dept Cardiol, Roeselare, Belgium. [De Vroey, Frederic] Grand Hop Charleroi, Dept Cardiol, Charleroi, Belgium. [Vercauteren, Steven] Klin St Jan, Dept Cardiol, Brussels, Belgium. [Aminian, Adel] CHU Charleroi, Dept Cardiol, Charleroi, Belgium. [Debrauwere, Jan] ASZ Aalst, Dept Cardiol, Aalst, Belgium. [Carlier, Stephane] CHU Ambroise Pare, Dept Cardiol, Mons, Belgium. [Coosemans, Mark; Van Reet, Bert] AZ Turnhout, Dept Cardiol, Turnhout, Belgium. [Vandergoten, Peter] Europa Ziekenhuizen, Dept Cardiol, Brussels, Belgium. | Keywords: | Percutaneous coronary intervention;chronic total occlusion;in-hospital outcomes | Document URI: | http://hdl.handle.net/1942/28827 | ISSN: | 0001-5385 | e-ISSN: | 1784-973X | DOI: | 10.1080/00015385.2017.1408891 | ISI #: | 000453410600002 | Rights: | 2017 Belgian Society of Cardiology | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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