Chronic total occlusion intervention of the non-infarct-related artery in acute myocardial infarction patients: the Korean multicenter chronic total occlusion registry
DC Field | Value | Language |
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dc.contributor.author | Park, Ji Young | - |
dc.contributor.author | Choi, Byoung Geol | - |
dc.contributor.author | Rha, Seung-Woon | - |
dc.contributor.author | Kang, Tae Soo | - |
dc.contributor.author | Choi, Cheol Ung | - |
dc.contributor.author | Yu, Cheol Woong | - |
dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.contributor.author | Chae, In-Ho | - |
dc.contributor.author | Kim, Hyo-Soo | - |
dc.contributor.author | Park, Hun Sik | - |
dc.contributor.author | Lee, Seung-Hwan | - |
dc.contributor.author | Kim, Moo-Hyun | - |
dc.contributor.author | Hur, Seung-Ho | - |
dc.contributor.author | Jang, Yangsoo | - |
dc.date.accessioned | 2021-09-02T06:43:46Z | - |
dc.date.available | 2021-09-02T06:43:46Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2018-09 | - |
dc.identifier.issn | 0954-6928 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/73246 | - |
dc.description.abstract | BackgroundThe Korean chronic total occlusion (CTO) registry was collected prospectively from 26 cardiovascular centers since May 2007. The aim of this study is to investigate the impact of a successful staged percutaneous coronary intervention (PCI) of CTO lesions in acute myocardial infarction (AMI) patients on clinical outcomes.Patients and methodsAmong 2813 patients who underwent a staged PCI because of CTO lesions, 422 (15%) patients underwent primary PCI because of AMI. Among 422 patients, successful staged CTO-PCI was performed in 76%. The clinical outcomes were compared between the successful CTO-PCI group (n=321) and the failed CTO-PCI group (n=101). To adjust for potential confounders, a propensity score matching (PSM) analysis was carried out using the logistic regression model.ResultsAfter the PSM analysis, two propensity-matched groups (85 pairs, n=170) were generated and the baseline characteristics were balanced. The incidence of total death (P=0.029) and non-ST-segment elevation myocardial infarction (NSTEMI, P=0.043) at 1 year was higher in the failed CTO-PCI group. Multivariate regression showed that successful CTO-PCI was an independent predictor of preventing mortality (hazard ratio, 0.21, P=0.048). In the subgroup analysis, the Kaplan-Meier curve showed that successful CTO-PCI had a lower incidence of total death (log-rank=0.004) and cardiac death (log-rank=0.005) up to 1 year in NSTEMI patients. Cox-proportional analysis showed that successful CTO-PCI was beneficial in patients with NSTEMI, hypertension, and non-left-anterior descending artery lesion for preventing mortality.ConclusionIn this study, a staged successful CTO-PCI in AMI patients was associated with improved 1-year survival in the Korean population. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | PERCUTANEOUS CORONARY INTERVENTION | - |
dc.subject | IMPACT | - |
dc.subject | REVASCULARIZATION | - |
dc.subject | RECANALIZATION | - |
dc.subject | METAANALYSIS | - |
dc.subject | DISEASE | - |
dc.title | Chronic total occlusion intervention of the non-infarct-related artery in acute myocardial infarction patients: the Korean multicenter chronic total occlusion registry | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Rha, Seung-Woon | - |
dc.contributor.affiliatedAuthor | Choi, Cheol Ung | - |
dc.contributor.affiliatedAuthor | Yu, Cheol Woong | - |
dc.identifier.doi | 10.1097/MCA.0000000000000630 | - |
dc.identifier.scopusid | 2-s2.0-85051247105 | - |
dc.identifier.wosid | 000441142900008 | - |
dc.identifier.bibliographicCitation | CORONARY ARTERY DISEASE, v.29, no.6, pp.495 - 501 | - |
dc.relation.isPartOf | CORONARY ARTERY DISEASE | - |
dc.citation.title | CORONARY ARTERY DISEASE | - |
dc.citation.volume | 29 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 495 | - |
dc.citation.endPage | 501 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | PERCUTANEOUS CORONARY INTERVENTION | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | REVASCULARIZATION | - |
dc.subject.keywordPlus | RECANALIZATION | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordAuthor | acute myocardial infarction | - |
dc.subject.keywordAuthor | chronic total occlusion | - |
dc.subject.keywordAuthor | percutaneous coronary intervention | - |
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