2023
Single vs. multiple operators for chronic total occlusion percutaneous coronary interventions: From the PROGRESS‐CTO Registry
Karacsonyi J, Alaswad K, Krestyaninov O, Karmpaliotis D, Kirtane A, Ali Z, McEntegart M, Masoumi A, Poomipanit P, Jaffer F, Khatri J, Choi J, Patel M, Koutouzis M, Tsiafoutis I, Gorgulu S, Sheikh A, Elbarouni B, Jaber W, ElGuindy A, Yeh R, Kostantinis S, Simsek B, Rangan B, Mastrodemos O, Vemmou E, Nikolakopoulos I, Ungi I, Rafeh N, Goktekin O, Burke M, Brilakis E, Sandoval Y. Single vs. multiple operators for chronic total occlusion percutaneous coronary interventions: From the PROGRESS‐CTO Registry. Catheterization And Cardiovascular Interventions 2023, 101: 543-552. PMID: 36695421, DOI: 10.1002/ccd.30564.Peer-Reviewed Original ResearchConceptsCTO-PCIChronic total occlusion (CTO) percutaneous coronary interventionAir kerma radiation dosePercutaneous coronary intervention outcomesChronic total occlusion interventionLow MACE ratePROGRESS-CTO RegistryProspective global registryProcedural success ratePercutaneous coronary interventionHigh technical successRisk of complicationsMO casesCTO PCI casesMACE rateCoronary interventionMulticenter registryPatient ageMultivariable analysisProcedural successContrast volumeGlobal RegistryTechnical successProcedural outcomesPCI cases
2022
External validation of the PROGRESS-CTO complication risk scores: Individual patient data pooled analysis of 3 registries
Simsek B, Tajti P, Carlino M, Ojeda S, Pan M, Rinfret S, Vemmou E, Kostantinis S, Nikolakopoulos I, Karacsonyi J, Dens J, Agostoni P, Alaswad K, Megaly M, Avran A, Choi J, Jaffer F, Doshi D, Karmpaliotis D, Khatri J, Knaapen P, La Manna A, Spratt J, Tanabe M, Walsh S, Mastrodemos O, Allana S, Rempakos A, Rangan B, Goktekin O, Gorgulu S, Poommipanit P, Kearney K, Lombardi W, Grantham J, Mashayekhi K, Brilakis E, Azzalini L. External validation of the PROGRESS-CTO complication risk scores: Individual patient data pooled analysis of 3 registries. International Journal Of Cardiology 2022, 375: 14-20. PMID: 36565956, DOI: 10.1016/j.ijcard.2022.12.036.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseCoronary AngiographyCoronary OcclusionHumansPercutaneous Coronary InterventionRegistriesRisk FactorsTreatment OutcomeConceptsMajor adverse cardiovascular eventsPercutaneous coronary interventionCTO percutaneous coronary interventionComplication risk scoreIndividual patient dataComplication scoreRisk scorePrior coronary artery bypass graft surgeryCoronary artery bypass graft surgeryChronic total occlusion (CTO) percutaneous coronary interventionArtery bypass graft surgeryObserved complication rateAdverse cardiovascular eventsBypass graft surgeryPatient dataJ-CTO scoreRisk of complicationsGood discriminative performanceBlunt stumpMACE rateMACE scoresCardiovascular eventsGraft surgeryCoronary interventionComplication rateValidation of the OPEN-CLEAN Chronic Total Occlusion Percutaneous Coronary Intervention Perforation Score in a Multicenter Registry
Simsek B, Carlino M, Ojeda S, Pan M, Rinfret S, Vemmou E, Kostantinis S, Nikolakopoulos I, Karacsonyi J, Quadros A, Dens J, Abi Rafeh N, Agostoni P, Alaswad K, Avran A, Belli K, Choi J, Elguindy A, Jaffer F, Doshi D, Karmpaliotis D, Khatri J, Khelimskii D, Knaapen P, La Manna A, Krestyaninov O, Lamelas P, Padilla L, de Oliveira P, Spratt J, Tanabe M, Walsh S, Goktekin O, Gorgulu S, Mastrodemos O, Allana S, Rangan B, Kearney K, Lombardi W, Grantham J, Hirai T, Brilakis E, Azzalini L. Validation of the OPEN-CLEAN Chronic Total Occlusion Percutaneous Coronary Intervention Perforation Score in a Multicenter Registry. The American Journal Of Cardiology 2022, 188: 30-35. PMID: 36462272, DOI: 10.1016/j.amjcard.2022.11.023.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionCTO percutaneous coronary interventionCoronary artery perforationArtery perforationPerforation riskPrevious coronary artery bypass graftChronic total occlusion (CTO) percutaneous coronary interventionCoronary artery bypass graftModerate-severe calcificationUnfavorable angiographic characteristicsArtery bypass graftProximal cap ambiguityBlunt stumpAngiographic characteristicsMulticenter registryCoronary interventionFeared complicationBypass graftTechnical successPatientsPerforationGood calibrationCharacteristic curveScoresRiskOutcomes and challenges of the provisional stenting technique: Insights from the PROGRESS‐BIFURCATION registry
Simsek B, Kostantinis S, Karacsonyi J, Allana S, Vemmou E, Nikolakopoulos I, Burke M, Garcia S, Wang Y, Chavez I, Gössl M, Sorajja P, Mooney M, Poulose A, Sandoval Y, Traverse J, Rangan B, Brilakis E. Outcomes and challenges of the provisional stenting technique: Insights from the PROGRESS‐BIFURCATION registry. Catheterization And Cardiovascular Interventions 2022, 100: 749-755. PMID: 36121014, DOI: 10.1002/ccd.30401.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionTwo-stent strategyProvisional stentingProcedural successTechnical successHospital major adverse cardiovascular eventsMajor adverse cardiovascular eventsAdverse cardiovascular eventsLower technical successProspective global registrySimilar procedural successProvisional stenting techniqueAngiographic characteristicsCardiovascular eventsCoronary interventionDiameter stenosisGlobal RegistryDistal lesionsProcedural outcomesSB involvementSB lesion lengthBifurcation lesionsSide branch diameterStenting techniquesStentingPrimary vs Secondary Retrograde Approach in Chronic Total Occlusion Percutaneous Coronary Interventions.
Kostantinis S, Alaswad K, Karmpaliotis D, Jaffer F, Jaber W, Nicholson W, Rinfret S, Khatri J, Poommipanit P, Karacsonyi J, Simsek B, Vemmou E, Nikolakopoulos I, Koutouzis M, Tsiafoutis I, Riley R, Sheikh A, Patel M, Gorgulu S, ElGuindy A, Goktekin O, Abi Rafeh N, Rangan B, Garcia S, Burke M, Brilakis E. Primary vs Secondary Retrograde Approach in Chronic Total Occlusion Percutaneous Coronary Interventions. Journal Of Invasive Cardiology 2022, 34: e672-e677. PMID: 35969839.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionCoronary chronic total occlusionsRetrograde approachRetrograde CTO-PCICoronary interventionCTO-PCIHospital major adverse cardiac eventsCoronary artery bypass graft surgeryChronic total occlusion (CTO) percutaneous coronary interventionMajor adverse cardiac eventsMajor adverse event rateArtery bypass graft surgeryCTO percutaneous coronary interventionAdverse cardiac eventsBypass graft surgeryAdverse event ratesProcedural success rateVentricular ejection fractionChronic total occlusionPROGRESS CTO scoresAngiographic characteristicsGraft surgeryCardiac eventsEjection fractionProcedural successOutcomes of Intravascular Ultrasound-Guided Versus Angiography-Guided Percutaneous Coronary Interventions in Chronic Total Occlusions: A Systematic Review and Meta-Analysis.
Chugh Y, Buttar R, Kwan T, Vemmou E, Karacsonyi J, Nikolakopoulos I, Garcia S, Goessl M, Wang Y, Chavez I, Poulose A, Burke M, Brilakis E. Outcomes of Intravascular Ultrasound-Guided Versus Angiography-Guided Percutaneous Coronary Interventions in Chronic Total Occlusions: A Systematic Review and Meta-Analysis. Journal Of Invasive Cardiology 2022, 34: e310-e318. PMID: 35366225.Peer-Reviewed Original ResearchMeSH KeywordsCoronary AngiographyDrug-Eluting StentsHumansPercutaneous Coronary InterventionUltrasonographyUltrasonography, InterventionalConceptsPercutaneous coronary interventionTarget lesion revascularizationTarget vessel revascularizationMajor adverse cardiac eventsAdverse cardiac eventsTotal stent lengthChronic total occlusionLong-term outcomesStent thrombosisCTO-PCIMyocardial infarctionCause mortalityCardiac eventsCardiovascular mortalityCoronary interventionTotal occlusionStent lengthProcedure timeLower riskSystematic reviewBetter long-term outcomesContrast volume useIntravascular ultrasound guidanceShorter procedure timeRandom-effects modelPercutaneous coronary intervention of chronic total occlusions involving a bifurcation: Insights from the PROGRESS-CTO registry
Nikolakopoulos I, Vemmou E, Karacsonyi J, Alaswad K, Karmpaliotis D, Abi Rafeh N, Schimmel D, Benzuly K, Flaherty J, Poommipanit P, ElGuindy A, Burke M, Brilakis E. Percutaneous coronary intervention of chronic total occlusions involving a bifurcation: Insights from the PROGRESS-CTO registry. Hellenic Journal Of Cardiology 2022, 66: 80-83. PMID: 35247542, DOI: 10.1016/j.hjc.2022.02.005.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseCoronary AngiographyCoronary OcclusionHumansPercutaneous Coronary InterventionRegistriesRisk FactorsTreatment OutcomeConceptsPercutaneous coronary interventionDistal capProximal capCoronary interventionCoronary artery bypass graft surgery ratesChronic total occlusion (CTO) percutaneous coronary interventionCTO percutaneous coronary interventionLower technical success rateLower technical successPROGRESS-CTO RegistryTechnical success rateChronic total occlusionPCI registrySurgery ratesProcedural dataTotal occlusionTechnical successJ-CTOHigh riskSuccess rateRegistryTwo-thirdsInterventionLimited studiesBifurcation locationChallenges and outcomes of the double kissing crush stenting technique: Insights from the PROGRESS‐BIFURCATION registry
Simsek B, Kostantinis S, Karacsonyi J, Vemmou E, Nikolakopoulos I, Assali M, Burke M, Garcia S, Wang Y, Chavez I, Goessl M, Sorajja P, Mooney M, Poulose A, Traverse J, Rangan B, Brilakis E. Challenges and outcomes of the double kissing crush stenting technique: Insights from the PROGRESS‐BIFURCATION registry. Catheterization And Cardiovascular Interventions 2022, 99: 1038-1044. PMID: 35195331, DOI: 10.1002/ccd.30135.Peer-Reviewed Original ResearchMeSH KeywordsCoronary AngiographyCoronary Artery DiseaseHumansPercutaneous Coronary InterventionProspective StudiesRegistriesStentsTreatment OutcomeConceptsPercutaneous coronary interventionDK crushBifurcation lesionsCoronary interventionDouble kissingHospital major adverse cardiovascular eventsMajor adverse cardiovascular eventsBifurcation percutaneous coronary interventionProspective global registryAdverse cardiovascular eventsDouble kissing crushSide branchesAngiographic characteristicsCardiovascular eventsNew guidewireArtery lesionsComplication rateProcedural successExcellent outcomesGlobal RegistryTechnical successProcedural outcomesCrush techniqueLesionsBifurcation stentingPractice Patterns in the Interventional Treatment of Coronary Bifurcation Lesions: A Global Survey.
Nikolakopoulos I, Vemmou E, Karacsonyi J, Azzalini L, Bergmark B, Chatzizisis Y, Hall A, Wollmuth J, Croce K, Jneid H, Rangan B, Burke M, Brilakis E. Practice Patterns in the Interventional Treatment of Coronary Bifurcation Lesions: A Global Survey. Journal Of Invasive Cardiology 2022, 34: e43-e48. PMID: 34982725, PMCID: PMC8919669, DOI: 10.25270/jic/21.00077.Peer-Reviewed Original ResearchMeSH KeywordsCoronary AngiographyCoronary Artery DiseaseHumansPercutaneous Coronary InterventionStentsTreatment OutcomeConceptsPercutaneous coronary interventionLM lesionsBifurcation lesionsProvisional stentingNon-LM bifurcation lesionsBifurcation percutaneous coronary interventionIntravascular imagingCoronary bifurcation lesionsDouble kissing crushDK crush techniqueAnnual PCI volumesProximal optimization techniqueBailout stentingRadial access useCoronary interventionPCI volumeInterventional treatmentPractice patternsCoronary physiologyCrush techniqueAccess useLesionsStudy aimProvisional strategyStenting
2021
Procedural and In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions in Patients With Acute Myocardial Infarction: Insights From a Prospective Multicenter International Registry.
Arman P, Basir M, Gupta A, Choi J, Khatri J, Jaffer F, Poomipanit P, Forouzandeh F, Koutouzis M, Tsiafoutis I, Patel M, Mahmud E, Vemmou E, Nikolakopoulos I, Karacsonyi J, ElGuindy A, Goktekin O, Abi Rafeh N, Brilakis E, Alaswad K. Procedural and In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions in Patients With Acute Myocardial Infarction: Insights From a Prospective Multicenter International Registry. Journal Of Invasive Cardiology 2021, 33: e670-e676. PMID: 34473071.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionPercutaneous coronary interventionNon-AMI patientsChronic total occlusion (CTO) percutaneous coronary interventionCTO-PCIAMI patientsCoronary interventionProcedural successTechnical successMyocardial infarctionHospital major adverse cardiovascular event (MACE) rateMajor adverse cardiovascular event ratesAdverse cardiovascular event ratesMulticenter international registrySimilar technical successIn-Hospital OutcomesCardiovascular event ratesProcedural success rateVentricular ejection fractionHemodynamic support devicesNon-CTO lesionsAntegrade wire escalationHospital MACEAngiographic characteristicsHospital outcomesAnomalous interarterial right coronary artery culprit vessel in ST-segment elevation myocardial infarction
Nikolakopoulos I, Lopes B, Vemmou E, Karacsonyi J, Cavalcante J, Lesser J, Brilakis E. Anomalous interarterial right coronary artery culprit vessel in ST-segment elevation myocardial infarction. Coronary Artery Disease 2021, 33: 155-156. PMID: 34411012, DOI: 10.1097/mca.0000000000001089.Peer-Reviewed Original ResearchComputed tomography angiography co-registration with real-time fluoroscopy in percutaneous coronary intervention for chronic total occlusions.
Xenogiannis I, Jaffer FA, Shah A, Omer M, Megaly M, Vemmou E, Nikolakopoulos I, Rangan B, Garcia S, Lesser J, Cavalcante J, Burke MN, Brilakis ES. Computed tomography angiography co-registration with real-time fluoroscopy in percutaneous coronary intervention for chronic total occlusions. EuroIntervention 2021, 17: e433-e435. PMID: 32657275, PMCID: PMC9724964, DOI: 10.4244/eij-d-20-00175.Peer-Reviewed Original ResearchOutcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) according to race: Insights from the PROGRESS-CTO registry
Vemmou E, Nikolakopoulos I, Karacsonyi J, Kostantinis S, Rangan B, Baechler C, Garcia S, Burke M, Alaswad K, Brilakis E. Outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) according to race: Insights from the PROGRESS-CTO registry. Hellenic Journal Of Cardiology 2021, 64: 90-92. PMID: 34311103, DOI: 10.1016/j.hjc.2021.07.007.Peer-Reviewed Original ResearchChronic total occlusion percutaneous coronary intervention during the COVID-19 pandemic: Insights from the PROGRESS-CTO registry
Vemmou E, Alaswad K, Khatri JJ, Khelimskii D, Krestyaninov O, Poommipanit P, Karacsonyi J, Nikolakopoulos I, Garcia S, Brilakis ES. Chronic total occlusion percutaneous coronary intervention during the COVID-19 pandemic: Insights from the PROGRESS-CTO registry. Hellenic Journal Of Cardiology 2021, 62: 372-373. PMID: 34098128, PMCID: PMC8178534, DOI: 10.1016/j.hjc.2021.05.005.Peer-Reviewed Original ResearchCharacteristics and in-hospital outcomes of patients undergoing complex bifurcation versus nonbifurcation percutaneous coronary intervention
Nikolakopoulos I, Vemmou E, Karacsonyi J, Garberich R, Stanberry L, Mueller DL, Kostantinis ST, Simsek B, Rangan BV, Burke MN, Brilakis ES. Characteristics and in-hospital outcomes of patients undergoing complex bifurcation versus nonbifurcation percutaneous coronary intervention. Coronary Artery Disease 2021, 33: 242-244. PMID: 34074912, DOI: 10.1097/mca.0000000000001063.Peer-Reviewed Original ResearchIn-Stent CTO Percutaneous Coronary Intervention Individual Patient Data Pooled Analysis of 4 Multicenter Registries
Vemmou E, Quadros AS, Dens JA, Rafeh NA, Agostoni P, Alaswad K, Avran A, Belli KC, Carlino M, Choi JW, El-Guindy A, Jaffer FA, Karmpaliotis D, Khatri JJ, Khelimskii D, Knaapen P, La Manna A, Krestyaninov O, Lamelas P, Ojeda S, Padilla L, Pan M, Piccaro de Oliveira P, Rinfret S, Spratt JC, Tanabe M, Walsh S, Nikolakopoulos I, Karacsonyi J, Rangan BV, Brilakis ES, Azzalini L. In-Stent CTO Percutaneous Coronary Intervention Individual Patient Data Pooled Analysis of 4 Multicenter Registries. JACC Cardiovascular Interventions 2021, 14: 1308-1319. PMID: 34052151, DOI: 10.1016/j.jcin.2021.04.003.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseCoronary AngiographyCoronary OcclusionHumansPercutaneous Coronary InterventionRegistriesRisk FactorsStentsTime FactorsTreatment OutcomeConceptsMajor adverse cardiovascular eventsDe novo chronic total occlusionsChronic total occlusionPercutaneous coronary interventionHospital major adverse cardiovascular eventsCTO percutaneous coronary interventionMyocardial infarctionLong-term major adverse cardiovascular eventsStent restenosis chronic total occlusionsCoronary artery bypass graft surgeryOutcomes of PCIMean J-CTO scoreArtery bypass graft surgeryAdverse cardiovascular eventsBypass graft surgeryDe novo groupJ-CTO scorePatient-level dataCause deathPercutaneous CoronaryAngiographic characteristicsCardiovascular eventsGraft surgeryMulticenter registryVessel revascularizationLaser for balloon uncrossable and undilatable chronic total occlusion interventions
Karacsonyi J, Alaswad K, Choi JW, Vemmou E, Nikolakopoulos I, Poommipanit P, Rafeh NA, ElGuindy A, Ungi I, Egred M, Brilakis ES. Laser for balloon uncrossable and undilatable chronic total occlusion interventions. International Journal Of Cardiology 2021, 336: 33-37. PMID: 34022321, DOI: 10.1016/j.ijcard.2021.05.015.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionCTO percutaneous coronary interventionChronic total occlusion (CTO) PCIMajor adverse cardiac eventsSimilar major complication ratesComplex percutaneous coronary interventionChronic total occlusion interventionOutcomes of balloonAdverse cardiac eventsMajor complication rateStent restenotic lesionsLaser useAngiographic characteristicsCardiac eventsComplication rateCoronary interventionPatient ageProcedural successCTO lesionsRestenotic lesionsSimilar incidenceProcedural outcomesUndilatable lesionsLesionsSuccess rateTHE IMPACT OF ANNUAL OPERATOR VOLUME ON THE OUTCOMES OF CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION
Karacsonyi J, Tsiafoutis I, Alaswad K, Khatri J, Choi J, Karmpaliotis D, ElGuindy A, Sheikh A, Jaber W, Elbarouni B, Jaffer F, Poomipanit P, Chandwaney R, Krestianinov O, Uretsky B, Patel M, Toma C, Yeh R, Vemmou E, Nikolakopoulos I, Xenogiannis I, Rangan B, Ungi I, Brilakis E, Koutouzis M. THE IMPACT OF ANNUAL OPERATOR VOLUME ON THE OUTCOMES OF CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION. Journal Of Invasive Cardiology 2021, 77: 958. PMID: 35969838, DOI: 10.1016/s0735-1097(21)02317-2.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionOperator volumeCoronary interventionHigher J-CTO scoreMajor cardiac adverse eventsHigh technical success rateAnnual operator volumeCardiac adverse eventsHigher lesion complexityMajor complication rateJ-CTO scoreTechnical success rateHigh technical successHigh-volume operatorsCTO PCI casesLow-volume operatorsProximal cap ambiguityProximal vessel tortuosityMulticenter registryAdverse eventsComplication ratePatient ageProcedural successMultivariable analysisCan History of Myocardial Infarction Reliably Indicate Myocardial Viability in Patients With a Coronary Chronic Total Occlusion and Good Collateral Circulation?
Nikolakopoulos I, Vemmou E, Karacsonyi J, Xenogiannis I, Rangan BV, Garcia S, Burke MN, Brilakis ES. Can History of Myocardial Infarction Reliably Indicate Myocardial Viability in Patients With a Coronary Chronic Total Occlusion and Good Collateral Circulation? Journal Of Invasive Cardiology 2021, 33: e135. PMID: 33531443.Peer-Reviewed Original ResearchMeSH KeywordsCollateral CirculationCoronary AngiographyCoronary OcclusionHumansMyocardial InfarctionMyocardiumPercutaneous Coronary InterventionConceptsCoronary chronic total occlusionsGood collateral circulationChronic total occlusionMyocardial infarctionCollateral circulationTotal occlusionPrior Q-wave myocardial infarctionQ-wave myocardial infarctionPercutaneous coronary interventionPrior myocardial infarctionPROGRESS CTOMulticenter registryCoronary interventionEjection fractionPredominant symptomViable myocardiumMyocardial viabilityPatientsViability testingOcclusionDyspneaInfarctionRegistrySymptomsMyocardiumPredicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Intervention
Karacsonyi J, Stanberry L, Alaswad K, Krestyaninov O, Choi JW, Rangan BV, Nikolakopoulos I, Vemmou E, Ungi I, Brilakis ES. Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Intervention. Circulation Cardiovascular Interventions 2021, 14: e009860. PMID: 33423537, DOI: 10.1161/circinterventions.120.009860.Peer-Reviewed Original Research