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
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 curveScoresRisk
2021
Comparison 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 outcomesTHE 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 analysisChronic total occlusion percutaneous coronary intervention in octogenarians and nonagenarians
Vemmou E, Alaswad K, Patel M, Mahmud E, Choi JW, Jaffer FA, Doing AH, Dattilo P, Karmpaliotis D, Krestyaninov O, Khelimskii D, Nikolakopoulos I, Karacsonyi J, Xenogiannis I, Garcia S, Burke MN, Rafeh N, ElGuindy A, Goktekin O, Abdo A, Rangan BV, Abdullah S, Brilakis ES. Chronic total occlusion percutaneous coronary intervention in octogenarians and nonagenarians. Journal Of The American Geriatrics Society 2021, 69: 1560-1569. PMID: 33591578, DOI: 10.1111/jgs.17063.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionCTO percutaneous coronary interventionCoronary artery bypass graft surgeryChronic total occlusion (CTO) percutaneous coronary interventionCoronary interventionYounger patientsProcedural successHospital major adverse cardiovascular eventsMajor adverse cardiovascular eventsMean J-CTO scoreArtery bypass graft surgeryCoronary lesion complexityAdverse cardiovascular eventsBypass graft surgeryJ-CTO scoreRisk of complicationsHospital MACEMore comorbiditiesCardiovascular eventsGraft surgeryHospital outcomesSevere calcificationAtrial fibrillationLesion complexityHigh incidenceLearning and innovation among interventional cardiologists: Insights from an international survey
Vemmou E, Nikolakopoulos I, Xenogiannis I, Karacsonyi J, Rangan BV, Garcia S, Burke MN, Jneid H, Croce KJ, Bergmark BA, Brilakis ES. Learning and innovation among interventional cardiologists: Insights from an international survey. Catheterization And Cardiovascular Interventions 2021, 99: 11-16. PMID: 33565681, DOI: 10.1002/ccd.29548.Peer-Reviewed Original ResearchConceptsInterventional cardiologistsCoronary interventionRadial accessNoncomplex percutaneous coronary interventionsTranscatheter aortic valve replacementAortic valve replacementPercutaneous coronary interventionMost respondentsDaily clinical practiceValve replacementCoronary angiographyFemoral accessSTEMI casesUltrasound guidanceClosure deviceCoronary guidewireCommon reasonClinical practiceShort courseCardiologistsInterventionStructural interventionsMonthsAdditional benefitDay practice
2020
Patient Radiation Dose During Chronic Total Occlusion Percutaneous Coronary Intervention
Vemmou E, Alaswad K, Khatri JJ, Nikolakopoulos I, Karacsonyi J, Xenogiannis I, Karmpaliotis D, Garcia S, Burke MN, Brilakis ES. Patient Radiation Dose During Chronic Total Occlusion Percutaneous Coronary Intervention. Circulation Cardiovascular Interventions 2020, 13: e009412. PMID: 32972204, DOI: 10.1161/circinterventions.120.009412.Peer-Reviewed Original ResearchOutcomes of Percutaneous Coronary Intervention for In-Stent Chronic Total Occlusions Insights From the PROGRESS-CTO Registry
Vemmou E, Alaswad K, Karmpaliotis D, Krestyaninov O, Khelimskii D, Xenogiannis I, Nikolakopoulos I, Rangan BV, Brilakis ES. Outcomes of Percutaneous Coronary Intervention for In-Stent Chronic Total Occlusions Insights From the PROGRESS-CTO Registry. JACC Cardiovascular Interventions 2020, 13: 1969-1971. PMID: 32819493, DOI: 10.1016/j.jcin.2020.05.003.Peer-Reviewed Original ResearchImpact of Intravascular Ultrasound Utilization for Stent Optimization on 1-Year Outcomes After Chronic Total Occlusion Percutaneous Coronary Intervention.
Vemmou E, Khatri J, Doing AH, Dattilo P, Toma C, Sheikh A, Alaswad K, Jefferson BK, Patel TN, Chandwaney RH, Jaffer FA, Jaber W, Samady H, Gkargkoulas F, Moses JW, Lembo NJ, Kirtane AJ, Parikh M, Ali ZA, Megaly M, Omer M, Nikolakopoulos I, Xenogiannis I, Stanberry L, Garberich RF, Rangan BV, Garcia S, Burke MN, Abdullah S, Banerjee S, Brilakis ES, Karmpaliotis D. Impact of Intravascular Ultrasound Utilization for Stent Optimization on 1-Year Outcomes After Chronic Total Occlusion Percutaneous Coronary Intervention. Journal Of Invasive Cardiology 2020, 32: 392-399. PMID: 32694224.Peer-Reviewed Original ResearchConceptsMajor adverse cardiac eventsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionIVUS groupCTO-PCIStent optimizationCoronary interventionIncidence of MACEUltrasound utilizationHigher lesion complexityAdverse cardiac eventsTarget vessel revascularizationAcute coronary syndromePrior myocardial infarctionJ-CTO scoreLong-term outcomesUnited States CentersAntegrade wire escalationIVUS useCoronary syndromeCardiac eventsPatient ageCardiac deathMyocardial infarctionLesion complexityST-segment elevation myocardial infarction due to multivessel, multifocal coronary vasospasm.
Vemmou E, Xenogiannis I, Nikolakopoulos I, Brilakis ES. ST-segment elevation myocardial infarction due to multivessel, multifocal coronary vasospasm. Coronary Artery Disease 2020, 32: 175-176. PMID: 32398576, DOI: 10.1097/mca.0000000000000902.Peer-Reviewed Original ResearchRetrograde Chronic Total Occlusion Percutaneous Coronary Intervention via Saphenous Vein Graft
Xenogiannis I, Gkargkoulas F, Karmpaliotis D, Krestyaninov O, Khelimskii D, Jaffer FA, Khatri JJ, Kandzari DE, Wyman RM, Doing AH, Dattilo P, Toma C, Yeh RW, Tamez H, Choi JW, Jaber W, Samady H, Sheikh AM, Potluri S, Patel M, Mahmud E, Elbaruni B, Love MP, Koutouzis M, Tsiafoutis I, Jefferson BK, Patel T, Uretsky B, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Hall AB, Megaly MS, Vemmou E, Nikolakopoulos I, Rangan BV, Morley PW, Dargham B, Abdullah S, Garcia S, Banerjee S, Burke MN, Brilakis ES, Alaswad K. Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention via Saphenous Vein Graft. JACC Cardiovascular Interventions 2020, 13: 517-526. PMID: 32081243, DOI: 10.1016/j.jcin.2019.10.028.Peer-Reviewed Original ResearchConceptsCTO percutaneous coronary interventionRetrograde CTO percutaneous coronary interventionPercutaneous coronary interventionSaphenous vein graftsChronic total occlusion (CTO) percutaneous coronary interventionSVG groupRetrograde crossingCoronary interventionVein graftsCollateral vesselsRetrograde chronic total occlusion (CTO) percutaneous coronary interventionHospital major adverse cardiac eventsHospital major adverse eventsMajor adverse cardiac eventsPrior percutaneous coronary interventionAdverse cardiac eventsMajor adverse eventsJ-CTO scorePrior myocardial infarctionPROGRESS CTO scoresHigh rateCardiac eventsAdverse eventsSevere calcificationProcedural success
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 groupOutcomes of subintimal plaque modification in chronic total occlusion percutaneous coronary intervention
Xenogiannis I, Choi JW, Alaswad K, Khatri JJ, Doing AH, Dattilo P, Jaffer FA, Uretsky B, Krestyaninov O, Khelimskii D, Patel M, Mahmud E, Potluri S, Koutouzis M, Tsiafoutis I, Jaber W, Samady H, Jefferson BK, Patel T, Megaly MS, Hall AB, Vemmou E, Nikolakopoulos I, Rangan BV, Abdullah S, Garcia S, Banerjee S, Burke MN, Brilakis ES. Outcomes of subintimal plaque modification in chronic total occlusion percutaneous coronary intervention. Catheterization And Cardiovascular Interventions 2019, 96: 1029-1035. PMID: 31797507, DOI: 10.1002/ccd.28614.Peer-Reviewed Original ResearchConceptsSubintimal plaque modificationPercutaneous coronary interventionCTO percutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionCTO PCI attemptsCoronary interventionPCI attemptsPlaque modificationProcedural successHospital major adverse cardiovascular eventsCoronary artery bypass graft surgeryAir kerma radiation doseHigher J-CTO scoreMajor adverse cardiovascular eventsPrior percutaneous coronary interventionArtery bypass graft surgeryPROGRESS-CTO RegistryTarget CTO lesionsAdverse cardiovascular eventsBypass graft surgeryCardiovascular risk factorsJ-CTO scoreProximal cap ambiguityDistal true lumenHypertension diabetesComparison of Risk Scores for the Prediction of the Overall Cardiovascular Risk in Patients with Ischemic Stroke: The Athens Stroke Registry
Georgiopoulos G, Ntaios G, Stamatelopoulos K, Manios E, Korompoki E, Vemmou E, Milionis H, Masi S, Lip G, Vemmos K. Comparison of Risk Scores for the Prediction of the Overall Cardiovascular Risk in Patients with Ischemic Stroke: The Athens Stroke Registry. Journal Of Stroke And Cerebrovascular Diseases 2019, 28: 104415. PMID: 31669071, DOI: 10.1016/j.jstrokecerebrovasdis.2019.104415.Peer-Reviewed Original ResearchConceptsContinuous net reclassification indexAthens Stroke RegistryVascular risk stratificationIschemic stroke patientsOverall cardiovascular riskIschemic strokeRisk stratificationMyocardial infarctionStroke RegistryCardiovascular riskComposite endpointStroke patientsOverall vascular riskHigh-risk patientsCox regression analysisPrevious myocardial infarctionKaplan-Meier survivalAvailable prognostic scoresNet reclassification indexIncremental predictive valueReclassification valueStroke recurrenceCardiovascular deathVascular riskPrognostic scoreUse of the DyeVert System in Chronic Total Occlusion Percutaneous Coronary Intervention.
Tajti P, Xenogiannis I, Hall A, Burke MN, Chavez I, Garcia S, Gössl M, Mooney M, Poulose A, Sorajja P, Wang Y, Vemmou E, Nikolakopoulos I, Morley P, Rangan BV, Ungi I, Brilakis ES. Use of the DyeVert System in Chronic Total Occlusion Percutaneous Coronary Intervention. Journal Of Invasive Cardiology 2019, 31: 253-259. PMID: 31478890.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionCTO-PCIContrast volumeCoronary interventionCommon target vesselMedian contrast volumeContrast-induced nephropathyAdditional larger studiesPrimary clinical endpointRight coronary arteryHospital major complicationsLarger contrast volumeAmount of contrastMost patientsCardiac catheterizationMajor complicationsProcedural complicationsCircumflex arterySingle centerCoronary arteryMean ageClinical endpointsProcedural outcomesPatientsLeft 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