Copyright
©The Author(s) 2022.
World J Cardiol. Jan 26, 2022; 14(1): 13-28
Published online Jan 26, 2022. doi: 10.4330/wjc.v14.i1.13
Published online Jan 26, 2022. doi: 10.4330/wjc.v14.i1.13
Studies | Patients (n) | CTO-PCI success | Follow-up | PCI success vs PCI failure | ||
MACE | Death | |||||
Registries | OPEN-CTO 2020 (12) (Hybrid approach) | 1000 | 90% | 1 yr | 3.4% vs 3.7% | 0.9% vs 0% |
EXPERT-CTO 2019 (2) (New generation DES) | 250 | 96.4% | 1 yr | 18.5% vs 24.4% | NR | |
Valenti et al 2019 (3) (Elderly ≥ 75 yr) | 460 | 72% | 5 yr | 9.6% vs 17% | 84% ± 3% vs 72% ± 6% | |
Sudhakar et al 2014 (4) | 13443 | 70.6% | 2.65 yr | NR | HR 0.72, 95%CI: 0.62-0.83 | |
Metanalyses | Christakopoulos et al 2015 (5) | 28486 | 71% | 3.11 yr | 29.1% | 6.4% vs 9.5% |
Hoebers et al 2015 (6) | 15459 | 71.7% | 1-10 yr | NR | 10.4% vs 14.9% | |
Chenmin et al 2021 (7) (Elderly ≥ 75 yr) | 4693 | 70.4%-78.36% | 20 mo-5 yr | 16.8% vs 28.9% | HR: 0.51, 95%CI: 0.34-0.77 | |
RCTs | DECISION CTO 2019 (8) | 834 | 90.6% | 4 yr | 22.3% vs 22.4% | 3.6% vs 5.3% |
EURO CTO 2018 (9) | 396 | 86.6% | 1 yr | 5.2% vs 6.7% | 0.8% vs 0% |
J-CTO score | CL score | ORA score | PROGRESS score | RECHARGE score | EURO-CTO CASTLE score | |||||||
Angiographic Features | Proximal cap blunt | 1 | Proximal cap blunt | 1 | Ostial location | 1 | Proximal cap ambiguity | 1 | Proximal cap blunt | 1 | Proximal cap blunt | 1 |
Tortuosity > 45° | 1 | Lesion lenght > 20 mm | 1.5 | Collateral filling Rentrop 0-1 | 2 | Tortuosity | 1 | Tortuosity > 45° | 1 | Tortuosity > 45° | 1 | |
Lenght > 20 mm | 1 | Calcification | 2 | Circumflex CTO | 1 | Lenght > 20 mm | 1 | Lenght > 20 mm | 1 | |||
Calcification | 1 | Non-LAD CTO | 1 | Absence of interventional collaterals | 1 | Calcification | 1 | Calcification | 1 | |||
Diseased distal landing zone | 1 | |||||||||||
Clinical features | Prior CTO PCI failure | 1 | Previous MI | 1 | Age > 75 yr | 1 | Previous CABG on CTO target vessel | 1 | Previous CABG | 1 | ||
Previous CABG | 1.5 | Age > 70 yr | 1 |
- Citation: Muraca I, Carrabba N, Virgili G, Bruscoli F, Migliorini A, Pennesi M, Pontecorboli G, Marchionni N, Valenti R. Chronic total occlusion revascularization: A complex piece to "complete" the puzzle. World J Cardiol 2022; 14(1): 13-28
- URL: https://www.wjgnet.com/1949-8462/full/v14/i1/13.htm
- DOI: https://dx.doi.org/10.4330/wjc.v14.i1.13