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
Outcomes 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 outcomesDistal Radial Access in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry.
Nikolakopoulos I, Patel T, Jefferson B, Sheikh A, Jaber W, Samady H, Khatri J, Yeh R, Tamez H, Koutouzis M, Tsiafoutis I, Jaffer F, Doing A, Dattilo P, Uretsky B, Toma C, Elbarouni B, Alaswad K, Choi J, Lembo N, Parikh M, Kirtane A, Ali Z, Omer M, Vemmou E, Xenogiannis I, Karacsonyi J, Rangan B, Abdullah S, Banerjee S, Garcia S, Burke M, Brilakis E, Karmpaliotis D. Distal Radial Access in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry. Journal Of Invasive Cardiology 2021, 33: e717-e722. PMID: 34433693.Peer-Reviewed Original ResearchConceptsDistal radial accessChronic total occlusion (CTO) percutaneous coronary interventionPercutaneous coronary interventionRadial accessCoronary interventionPRA groupProcedural successCTO-PCIAir kerma radiation doseAdverse cardiac eventsPROGRESS-CTO RegistryJ-CTO scoreRisk of complicationsSimilar procedural successPROGRESS CTO scoresDRA accessMulticenter registryCardiac eventsFemoral accessTechnical successConcomitant useProcedural characteristicsDRA groupRadiation doseComplicationsLaser 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 analysisCharacteristics and Outcomes of Patients With History of CABG Undergoing Cardiac Catheterization Via the Radial Versus Femoral Approach
Manly DA, Karrowni W, Rymer JA, Kaltenbach LA, Swaminathan RV, Messenger JC, Abbott JD, Seto A, Panetta C, Brilakis E, Nikolakopoulos I, Gilchrist IC, Kaul P, Dakik H, Rao SV. Characteristics and Outcomes of Patients With History of CABG Undergoing Cardiac Catheterization Via the Radial Versus Femoral Approach. JACC Cardiovascular Interventions 2021, 14: 907-916. PMID: 33812824, DOI: 10.1016/j.jcin.2021.01.053.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionNon-CABG patientsPost-CABG patientsOutcomes of patientsTransradial accessPrior CABGDiagnostic catheterizationTransfemoral accessVascular complicationsArtery accessFemoral approachNational Cardiovascular Data Registry CathPCI RegistryPost-coronary artery bypassDiagnostic proceduresHigh procedural volumeHistory of CABGRadial artery accessTransradial artery accessImproved clinical outcomesShorter fluoroscopy timeArtery bypassCathPCI RegistryCoronary interventionClinical outcomesProcedural successChronic 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
Retrograde 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 diabetes