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Karacsonyi J, Kostantinis S, Simsek B, Allana SS, Rempakos A, Khatri JJ, Krestianinov O, Jaffer FA, Alaswad K, ElGuindy AM, Jefferson BK, Gorgulu S, Poommipanit P, Karmpaliotis D, Kirtane AJ, McEntegart M, Choi JW, Rafeh NA, Goktekin O, Sandoval Y, Burke MN, Mastrodemos O, Rangan BV, Ungi I, Brilakis ES. EFFECT OF OCCLUSION LESION AGE ON OUTCOMES OF CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)01523-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Allana SS, Kostantinis S, Simsek B, Karacsonyi J, Alaswad K, Poommipanit P, Khatri JJ, Choi JW, Rempakos A, Krestianinov O, Khelimskii D, Karmpaliotis DI, Jaffer FA, Davies RE, Bagur R, Gorgulu S, Potluri SP, Sandoval Y, Mahmud E, Patel MP, Jefferson BK, Chandwaney RH, Burke MN, Rangan BV, Brilakis ES. LESION COMPLEXITY AND PROCEDURAL OUTCOMES ASSOCIATED WITH OSTIAL CHRONIC TOTAL OCCLUSIONS: INSIGHTS FROM THE PROGRESS-CTO REGISTRY. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)01220-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Cortese B, de la Torre Hernandez JM, Lanocha M, Ielasi A, Giannini F, Campo G, D'Ascenzo F, Latini RA, Krestianinov O, Alfonso F, Trani C, Prati F, Linares JA, Sardella G, Wlodarczak A, Viganò E, Camarero TG, Stella P, Sozykin A, Fineschi M, Burzotta F. Optical coherence tomography, intravascular ultrasound or angiography guidance for distal left main coronary stenting. The ROCK cohort II study. Catheter Cardiovasc Interv 2021; 99:664-673. [PMID: 34582631 DOI: 10.1002/ccd.29959] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 08/07/2021] [Accepted: 09/09/2021] [Indexed: 11/09/2022]
Abstract
OBJECTIVES to test the safety and efficacy of intravascular imaging and specifically optical coherence tomography (OCT) as a diagnostic tool for left main angioplasty and analyze the mid-term outcome accordingly. BACKGROUND Clinical data and international guidelines recommend the use of intravascular imaging ultrasound (IVUS) to guide left main (LM) angioplasty. Despite early experience using OCT in this setting is encouraging, the evidence supporting its use is still limited. METHODS ROCK II is a multicenter, investigator-driven, retrospective European study to compare the performance of IVUS and OCT versus angiography in patients undergoing distal-LM stenting. The primary study endpoint was target-lesion failure (TLF) including cardiac death, target-vessel myocardial infarction and target-lesion revascularization. We designed this study hypothesizing the superiority of intravascular imaging over angiographic guidance alone, and the non-inferiority of OCT versus IVUS. RESULTS A total of 730 patients, 377 with intravascular-imaging guidance (162 OCT, 215 IVUS) and 353 with angiographic guidance, were analyzed. The one-year rate of TLF was 21.2% with angiography and 12.7% with intravascular-imaging (p = 0.039), with no difference between OCT and IVUS (p = 0.26). Intravascular-imaging was predictor of freedom from TLF (HR 0.46; 95% CI 0.23-0.93: p = 0.03). Propensity-score matching identified three groups of 100 patients each with no significant differences in baseline characteristics. The one-year rate of TLF was 16% in the angiographic, 7% in the OCT and 6% in the IVUS group, respectively (p = 0.03 for IVUS or OCT vs. angiography). No between-group significant differences in the rate of individual components of TLF were found. CONCLUSIONS Intravascular imaging was superior to angiography for distal LM stenting, with no difference between OCT and IVUS.
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Affiliation(s)
- Bernardo Cortese
- Cardiovascular Department, Clinica Polispecialistica San Carlo, Paderno Dugnano, Milano, Italy.,Cardiovascular Department, Fondazione Ricerca e Innovazione Cardiovascolare, Milano, Italy.,Cardiovascular Department, San Carlo Clinic, Fondazione Ricerca e Innovazione Cardiovascolare, Milan, Italy
| | | | - Magdalena Lanocha
- Cardiovascular Department, Poznań University of Medical Sciences, Poznan, Poland
| | - Alfonso Ielasi
- Cardiovascular Department, Istituto Clinico Sant'Ambrogio, Milan, Italy
| | - Francesco Giannini
- Cardiovascular Department, Interventional Cardiology, GVM, Cotignola, Italy
| | - Gianluca Campo
- Cardiovascular Department, Interventional Cardiology, University of Ferrara, Ferrara, Italy
| | - Fabrizio D'Ascenzo
- Cardiovascular Department, Division of Cardiology, University of Turin, Città della Salute e Della Scienza, Torino, Italy
| | - Roberto A Latini
- Cardiovascular Department, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Oleg Krestianinov
- Cardiovascular Department, Interventional Cardiology, NRTCP Novosibirisk, Russia
| | - Fernando Alfonso
- Cardiovascular Department, Hospital Universitario del la Princesa, Madrid, Spain
| | - Carlo Trani
- Cardiovascular Department, Institute of Cardiology, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Francesco Prati
- Cardiovascular Department, Cardiology Unit, Ospedale San Giovanni, Rome, Italy
| | - Jose A Linares
- Cardiovascular Department, Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain
| | - Gennaro Sardella
- Cardiovascular Department, Interventional Cardiology, Policlinico Umberto I, Rome, Italy
| | - Adrian Wlodarczak
- Cardiovascular Department, Poznań University of Medical Sciences, Poznan, Poland
| | - Elena Viganò
- Cardiovascular Department, San Carlo Clinic, Fondazione Ricerca e Innovazione Cardiovascolare, Milan, Italy
| | - Tamara Garcia Camarero
- Cardiovascular Department, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain
| | - Pieter Stella
- Cardiovascular Department, Interventional Cardiology, UMC Utrecht, The Netherlands
| | - Alexander Sozykin
- Cardiovascular Department, Russian Academy of Science, Moscow, Russia
| | - Massimo Fineschi
- Cardiovascular Department, Interventional Cardiology, Policlinico Le Scotte, Siena, Italy
| | - Francesco Burzotta
- Cardiovascular Department, Institute of Cardiology, Università Cattolica del Sacro Cuore, Rome, Italy
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Karacsonyi J, Tsiafoutis I, Alaswad K, Khatri J, Choi J, Karmpaliotis D, ElGuindy A, Sheikh AM, 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. J Am Coll Cardiol 2021. [DOI: 10.1016/s0735-1097(21)02317-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Nikolakopoulos I, Vemmou E, Karacsonyi J, Alaswad K, Karmpaliotis D, Schimmel D, Benzuly K, Flaherty J, Krestianinov O, Khelimskii D, Rafeh NA, Ahmed E, Goktekin O, Gorgulu S, Reddy N, Khatri J, Jaffer F, Koutouzis M, Tsiafoutis I, Riley R, Choi J, Jaber W, Samady H, Burke MN, Brilakis E. CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION IN YOUNG PATIENTS: INSIGHTS FROM THE PROGRESS-CTO REGISTRY. J Am Coll Cardiol 2021. [DOI: 10.1016/s0735-1097(21)02274-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Romanov A, Pokushalov E, Artyomenko S, Yakubov A, Stenin I, Kretov E, Krestianinov O, Grazhdankin I, Risteski D, Karaskov A, Steinberg J. DOES LEFT ATRIAL APPENDAGE CLOSURE IMPROVE THE SUCCESS OF PULMONARY VEIN ISOLATION? RESULTS OF A RANDOMIZED CLINICAL TRIAL. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)60418-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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