2022
A Systematic Review and Meta-Analysis of Clinical Outcomes of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention.
Simsek B, Kostantinis S, Karacsonyi J, Alaswad K, Megaly M, Karmpaliotis D, Masoumi A, Jaber W, Nicholson W, Rinfret S, Mashayekhi K, Werner G, McEntegart M, Lee S, Khatri J, Harding S, Avran A, Jaffer F, Doshi D, Kao H, Sianos G, Yamane M, Milkas A, Azzalini L, Garbo R, Tammam K, Abi Rafeh N, Nikolakopoulos I, Vemmou E, Rangan B, Burke M, Garcia S, Croce K, Wu E, Tsuchikane E, Di Mario C, Galassi A, Gagnor A, Knaapen P, Jang Y, Kim B, Poommipanit P, Brilakis E. A Systematic Review and Meta-Analysis of Clinical Outcomes of Patients Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention. Journal Of Invasive Cardiology 2022, 34: e763-e775. PMID: 36227013.Peer-Reviewed Original ResearchConceptsMajor adverse cardiovascular eventsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionSubsequent clinical outcomesClinical outcomesCTO-PCIObservational studyMyocardial infarctionCause mortalityCoronary interventionOdds ratioSubsequent coronary artery bypass surgerySystematic reviewCoronary artery bypass surgeryAdverse cardiovascular eventsHeart failure hospitalizationTarget vessel revascularizationArtery bypass surgeryBetter clinical outcomesConfidence intervalsRandom-effects modelWeb of ScienceCardiovascular deathCardiovascular eventsFailure hospitalization
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 outcomesComparison of Outcomes of Patients with vs without Previous Coronary Artery Bypass Graft Surgery Presenting with ST-Segment Elevation Acute Myocardial Infarction
Karacsonyi J, Schmidt CW, Okeson BK, Garcia S, Henry TD, Nikolakopoulos I, Vemmou E, Xenogiannis I, Sharkey S, Aguirre FV, Tannenbaum M, Burke M, Goessl M, Sorajja P, Traverse J, Wang YL, Brilakis ES. Comparison of Outcomes of Patients with vs without Previous Coronary Artery Bypass Graft Surgery Presenting with ST-Segment Elevation Acute Myocardial Infarction. The American Journal Of Cardiology 2021, 154: 33-40. PMID: 34243937, DOI: 10.1016/j.amjcard.2021.05.041.Peer-Reviewed Original ResearchConceptsPrevious coronary bypass graft surgeryST-segment elevation acute myocardial infarctionCoronary bypass graft surgeryElevation acute myocardial infarctionPrevious CABG patientsAcute myocardial infarctionCABG patientsBaseline characteristicsMyocardial infarctionMajor cardiac adverse eventsBypass graft surgeryCardiac adverse eventsOutcomes of patientsSaphenous vein graftsKaplan-Meier methodLong-term outcomesLog-rank testComparison of outcomesSTEMI registryGraft surgerySTEMI patientsAdverse eventsMost patientsPrimary outcomeTerm outcomesCurrent challenges and prevention strategies for chronic total occlusion (CTO) complications
Karacsonyi J, Vemmou E, Nikolakopoulos I, Ungi I, Rafeh N, ElGuindy A, Azzalini L, Burke MN, Brilakis ES. Current challenges and prevention strategies for chronic total occlusion (CTO) complications. Expert Review Of Cardiovascular Therapy 2021, 19: 337-347. PMID: 33730518, DOI: 10.1080/14779072.2021.1905521.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseCoronary OcclusionHeart DiseasesHumansMyocardial InfarctionPercutaneous Coronary InterventionRisk FactorsTreatment OutcomeConceptsPercutaneous coronary interventionChronic total occlusionPCI complicationsMajor periprocedural complicationsNon-cardiac complicationsCardiac complicationsPeriprocedural complicationsCoronary interventionExperienced centersTotal occlusionHigh success rateComplicationsPrevention strategiesCareful monitoringEarly detectionSuccess rateRapid implementationOcclusionPreventionCan 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 testingOcclusionDyspneaInfarctionRegistrySymptomsMyocardium
2020
Systematic review and meta-analysis of short-term outcomes with drug-coated balloons vs. stenting in acute myocardial infarction
Megaly M, Buda KG, Xenogiannis I, Vemmou E, Nikolakopoulos I, Saad M, Rinfret S, Abbott JD, Aronow HD, Garcia S, Pershad A, Burke MN, Brilakis ES. Systematic review and meta-analysis of short-term outcomes with drug-coated balloons vs. stenting in acute myocardial infarction. Cardiovascular Intervention And Therapeutics 2020, 36: 481-489. PMID: 33037991, DOI: 10.1007/s12928-020-00713-y.Peer-Reviewed Original ResearchMeSH KeywordsCoated Materials, BiocompatibleHumansMyocardial InfarctionObservational Studies as TopicPharmaceutical PreparationsStentsTreatment OutcomeConceptsDrug-coated balloonsAcute myocardial infarctionMyocardial infarctionAMI patientsOutcomes of DCBMajor adverse cardiovascular eventsAdverse cardiovascular eventsLate lumen lossShort-term outcomesLesion revascularizationCardiovascular eventsCause mortalityAngiographic outcomesCardiac deathLumen lossSimilar riskClinical utilityPatientsSystematic reviewLarger studyInfarctionStatistical differenceOutcomesMonthsBalloonImpact of Successful Chronic Total Occlusion Percutaneous Coronary Interventions on Subsequent Clinical Outcomes.
Xenogiannis I, Nikolakopoulos I, Krestyaninov O, Khelimskii D, Khatri JJ, Doing AH, Dattilo P, Alaswad K, Toma C, Sheikh AM, Jaffer FA, Jefferson BK, Patel T, Chandwaney RH, Jaber W, Samady H, Patel M, Mahmud E, Choi J, Koutouzis M, Tsiafoutis I, Megaly M, Omer M, Vemmou E, Rangan BV, Garcia S, Abdullah S, Banerjee S, Burke N, Brilakis ES, Karmpaliotis D. Impact of Successful Chronic Total Occlusion Percutaneous Coronary Interventions on Subsequent Clinical Outcomes. Journal Of Invasive Cardiology 2020, 32: 433-439. PMID: 32568095.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseCoronary OcclusionHumansMyocardial InfarctionPercutaneous Coronary InterventionRegistriesRisk FactorsTreatment OutcomeConceptsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionCTO-PCIAngina improvementCoronary interventionLower incidenceSuccessful chronic total occlusion percutaneous coronary interventionMajor adverse cardiovascular event ratesAdverse cardiovascular event ratesSuccessful CTO-PCI groupSuccessful percutaneous coronary interventionCTO PCI patientsCTO-PCI groupPrior coronary revascularizationCardiovascular event ratesSubsequent clinical outcomesIncidence of MACESuccessful CTO-PCIJ-CTO scoreCTO-PCI successLower J-CTO scoresComplication scoreCoronary revascularizationMulticenter registryPrior MI
2019
Challenges associated with treatment of left internal mammary artery graft thrombosis
Xenogiannis I, Vemmou E, Nikolakopoulos I, Brilakis ES. Challenges associated with treatment of left internal mammary artery graft thrombosis. Catheterization And Cardiovascular Interventions 2019, 95: e17-e20. PMID: 31037839, DOI: 10.1002/ccd.28322.Peer-Reviewed Original ResearchConceptsAcute occlusionCoronary artery bypass graft surgeryLeft internal mammary artery graftInternal mammary artery graftArtery bypass graft surgeryMammary artery graftsBypass graft surgeryTIMI 3 flowCoronary artery bypassLife-threatening complicationsArtery bypassArtery graftGraft surgeryLIMA graftGraft thrombosisDistal anastomosisLeft anteriorAspiration thrombectomyStent implantationPostprocedural courseThrombectomySurgeryGraftOcclusionComplications