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
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 ResearchConceptsMajor 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 curveScoresRiskPrimary 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 successPercutaneous 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 ResearchConceptsPercutaneous 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 location
2021
In-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 rateChronic 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 incidence
2020
Impact of adherence to the hybrid algorithm for initial crossing strategy selection in chronic total occlusion percutaneous coronary intervention
Xenogiannis I, Alaswad K, Krestyaninov O, Khelimskii D, Khatri JJ, Choi JW, Jaffer FA, Patel M, Mahmud E, Doing AH, Dattilo P, Koutouzis M, Tsiafoutis I, Uretsky B, Jefferson BK, Patel T, Jaber W, Samady H, Sheikh AM, Yeh RW, Tamez H, Elbarouni B, Love MP, Abi Rafeh N, Maalouf A, Fadi AJ, Toma C, Shah AR, Chandwaney RH, Omer M, Megaly MS, Vemmou E, Nikolakopoulos I, Rangan BV, Garcia S, Abdullah S, Banerjee S, Burke MN, Karmpaliotis D, Brilakis ES. Impact of adherence to the hybrid algorithm for initial crossing strategy selection in chronic total occlusion percutaneous coronary intervention. Revista Española De Cardiología (English Edition) 2020, 74: 1023-1031. PMID: 33189636, DOI: 10.1016/j.rec.2020.09.009.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionCTO percutaneous coronary interventionJ-CTO scoreImpact of adherenceTechnical successCoronary interventionHospital major adverse cardiac eventsHospital major adverse eventsMean J-CTO scorePrior percutaneous coronary interventionMajor adverse cardiac eventsConcordant groupLarge multicenter registryLower technical successAdverse cardiac eventsCoronary artery bypassMajor adverse eventsOverall technical successPrior myocardial infarctionHigh technical successCTO-PCI successArtery bypassMulticenter registryAdverse eventsEquipment utilization in chronic total occlusion percutaneous coronary interventions: Insights from the PROGRESS‐CTO registry
Nikolakopoulos I, Choi JW, Alaswad K, Khatri JJ, Krestyaninov O, Khelimskii D, Yeh RW, Jaffer FA, Toma C, Patel M, Mahmud E, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Gkargkoulas F, Uretsky B, Sheikh AM, Vemmou E, Xenogiannis I, Rangan BV, Garcia S, Abdullah S, Banerjee S, Burke MN, Brilakis ES, Karmpaliotis D. Equipment utilization in chronic total occlusion percutaneous coronary interventions: Insights from the PROGRESS‐CTO registry. Catheterization And Cardiovascular Interventions 2020, 97: 658-667. PMID: 32597031, DOI: 10.1002/ccd.29106.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionCTO percutaneous coronary interventionCoronary interventionHigh-complexity lesionsPolymer-jacketed guidewiresPROGRESS-CTO RegistryAntegrade guidewireMedian numberMicrocatheterGuidewireFielder XTInterventionRetrograde casesPatientsAntegradeRegistryLesionsRetrograde 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 diabetesRecent advances in microcatheter technology for the treatment of chronic total occlusions
Vemmou E, Nikolakopoulos I, Xenogiannis I, Megaly M, Hall A, Wang Y, Chavez I, Garcia S, Burke MN, Brilakis ES. Recent advances in microcatheter technology for the treatment of chronic total occlusions. Expert Review Of Medical Devices 2019, 16: 267-273. PMID: 30929525, DOI: 10.1080/17434440.2019.1602039.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionCTO percutaneous coronary interventionChronic total occlusion (CTO) percutaneous coronary interventionChronic total occlusionComparative effectiveness studiesContemporary CTO percutaneous coronary interventionGuidewire supportCoronary interventionTotal occlusionMicrocatheter technologyClinical experienceClinical practiceMicrocatheterEffectiveness studiesNew microcatheterAdditional option