2023
Contemporary In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions: Insights from the MENATA (Middle East, North Africa, Turkey, and Asia) Chapter of the PROGRESS-CTO Registry
Gorgulu S, Kostantinis S, ElGuindy A, Abi Rafeh N, Simsek B, Rempakos A, Karacsonyi J, Kalay N, Samir A, Jaoudeh F, Maalouf A, Soylu K, Yildirim U, Tigen M, Cincin A, Kalyanasundaram A, Aygul N, Altunkeser B, El Sayed A, Sadek Y, Shelton C, Jbara K, Vemmou E, Nikolakopoulos I, Mastrodemos O, Rangan B, Allana S, Sandoval Y, Burke M, Brilakis E, Goktekin O. Contemporary In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions: Insights from the MENATA (Middle East, North Africa, Turkey, and Asia) Chapter of the PROGRESS-CTO Registry. The American Journal Of Cardiology 2023, 206: 221-229. PMID: 37717475, DOI: 10.1016/j.amjcard.2023.08.103.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionCoronary interventionConsecutive CTO percutaneous coronary interventionsHospital major adverse cardiac eventsAir kerma radiation dosePrevious percutaneous coronary interventionMajor adverse cardiac eventsCTO percutaneous coronary interventionCommon target vesselJapanese CTO scoreMedian contrast volumePROGRESS-CTO RegistryAdverse cardiac eventsIn-Hospital OutcomesAcceptable complication rateProcedural success ratePrevalence of diabetesRight coronary arteryIncidence of perforationPROGRESS CTO scoresAntegrade wire escalationAngiographic characteristicsCardiac eventsExperienced centersExternal validation of the PROGRESS‐CTO perforation risk score: Individual patient data pooled analysis of three registries
Simsek B, Tajti P, Carlino M, Ojeda S, Pan M, Rinfret S, Vemmou E, Kostantinis S, Nikolakopoulos I, Karacsonyi J, Rempakos A, 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, 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 perforation risk score: Individual patient data pooled analysis of three registries. Catheterization And Cardiovascular Interventions 2023, 101: 326-332. PMID: 36617391, DOI: 10.1002/ccd.30551.Peer-Reviewed Original ResearchPercutaneous coronary interventionCTO percutaneous coronary interventionCoronary artery perforationArtery perforationRisk scorePrior coronary artery bypass graftChronic total occlusion (CTO) percutaneous coronary interventionCoronary artery bypass graftIndividual patient-level dataModerate-severe calcificationUnfavorable angiographic characteristicsArtery bypass graftIndividual patient dataRisk of perforationPatient-level dataProximal cap ambiguityGood discriminative performanceBlunt stumpAngiographic characteristicsCoronary interventionCommon complicationBypass graftTechnical successPerforation riskIndependent cohort
2022
Validation 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 successChallenges 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 ResearchConceptsPercutaneous 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 stenting
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 outcomesIn-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 ResearchConceptsMajor 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 rate
2019
The Impact of Peripheral Artery Disease in Chronic Total Occlusion Percutaneous Coronary Intervention (Insights From PROGRESS-CTO Registry)
Xenogiannis I, Gkargkoulas F, Karmpaliotis D, Alaswad K, Krestyaninov O, Khelimskii D, Choi JW, Jaffer FA, Patel M, Mahmud E, Khatri JJ, Kandzari DE, Doing AH, Dattilo P, Toma C, Koutouzis M, Tsiafoutis I, Uretsky B, Yeh RW, Tamez H, Wyman RM, Jefferson BK, Patel T, Jaber W, Samady H, Sheikh AM, Malik BA, Holper E, Potluri S, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Hall AB, Vemmou E, Nikolakopoulos I, Dargham BB, Rangan BV, Abdullah S, Garcia S, Banerjee S, Burke MN, Brilakis ES. The Impact of Peripheral Artery Disease in Chronic Total Occlusion Percutaneous Coronary Intervention (Insights From PROGRESS-CTO Registry). Angiology 2019, 71: 274-280. PMID: 31845593, DOI: 10.1177/0003319719895178.Peer-Reviewed Original ResearchConceptsPeripheral artery diseasePercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionHistory of PADCTO percutaneous coronary interventionCoronary interventionArtery diseaseProcedural successComplex lesionsHospital major adverse cardiac eventsAntegrade dissection/reentryMajor adverse cardiac eventsJapanese CTO scoreAdverse cardiac eventsCardiovascular risk factorsLower procedural successMore comorbiditiesAngiographic characteristicsCardiac eventsTechnical successRisk factorsProcedural outcomesRetrograde approachHigh prevalenceStudy groupLeft Main Chronic Total Occlusion Percutaneous Coronary Intervention: A Case Series.
Xenogiannis I, Karmpaliotis D, Alaswad K, Basir MB, Yeh RW, Tamez H, Patel M, Mahmud E, Choi JW, Burke MN, Doing AH, Dattilo P, Khatri JJ, Sheikh AM, Malik BA, Greene ME, Abi Rafeh N, Maalouf A, Abou Jaoudeh F, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Gkargkoulas F, Russo J, Hakemi E, Tajti P, Hall AB, Vemmou E, Nikolakopoulos I, Rangan BV, Abdullah S, Banerjee S, Brilakis ES. Left Main Chronic Total Occlusion Percutaneous Coronary Intervention: A Case Series. Journal Of Invasive Cardiology 2019, 31: e220-e225. PMID: 31257217.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionPrior coronary artery bypass graft surgeryCoronary artery bypass graft surgeryChronic total occlusion (CTO) percutaneous coronary interventionArtery bypass graft surgeryBypass graft surgeryGraft surgeryCoronary interventionProcedural outcomesAir kerma radiation doseMean J-CTO scoreMedian contrast volumePeriprocedural myocardial infarctionProcedural success rateJ-CTO scoreMedian procedure timePROGRESS CTO scoresBetter procedural outcomesAntegrade wire escalationAngiographic characteristicsComplication scoreMost patientsPatient ageCase seriesContrast volume