Predictors of poor clinical outcomes after successful chronic total occlusion intervention with drug-eluting stents
DC Field | Value | Language |
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dc.contributor.author | Kim, Gwang-Sil | - |
dc.contributor.author | Kim, Byeong-Keuk | - |
dc.contributor.author | Shin, Dong-Ho | - |
dc.contributor.author | Kim, Jung-Sun | - |
dc.contributor.author | Hong, Myeong-Ki | - |
dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.contributor.author | Kim, Hyo-Soo | - |
dc.contributor.author | Yu, Cheol Woong | - |
dc.contributor.author | Park, Hun Sik | - |
dc.contributor.author | Chae, In-Ho | - |
dc.contributor.author | Rha, Seung-Woon | - |
dc.contributor.author | Jang, Yangsoo | - |
dc.date.accessioned | 2021-09-03T03:19:25Z | - |
dc.date.available | 2021-09-03T03:19:25Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2017-08 | - |
dc.identifier.issn | 0954-6928 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/82640 | - |
dc.description.abstract | Background The aim of this study was to identify the prognostic predictors for the worse clinical outcomes after a successful chronic total occlusion (CTO) intervention with drug-eluting stents. Patients and results A total of 2334 patients in the multicenter Korean CTO registry who underwent a successful CTO intervention with drug-eluting stents (first generation, 1367, new generation, 967) were enrolled. The primary endpoint was the composite of cardiac death, myocardial infarction, and stent thrombosis. The cumulative incidence of the primary endpoint was 2.5% (median follow-up duration: 22 months). In multivariate analysis, age above 65 years [hazard ratio (HR) = 1.769, 95% confidence interval (CI) = 1.025-3.052, P = 0.041], heart failure (HR = 4.242, 95% CI = 2.335-7.705, P < 0.001), and diabetes (HR = 1.773, 95% CI = 1.043-3.012, P = 0.034) were the significant predictors. The cumulative incidence of the primary endpoint was significantly higher in patients with three risk factors (19.1%) than in those with one (2.2%) or two (3.0%) risk factors (P = 0.001). The cumulative target-vessel revascularization rate was 8.4%, with the significant predictors being a diffuse long lesion (HR = 1.626, 95% CI = 1.129-2.340, P = 0.009) and at least three implanted stents (HR = 1.964, 95% CI = 1.301-2.965, P = 0.001). Conclusion Clinical parameters such as age, diabetes, and heart failure were independent predictors of the composite of cardiac death, myocardial infarction, and stent thrombosis, whereas angiographic or procedural parameters such as lesion length and number of implanted stents were predictors of target-vessel revascularization. Clinical outcomes after CTO intervention were worse in patients with multiple risk factors. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | PERCUTANEOUS CORONARY INTERVENTION | - |
dc.subject | ANGIOGRAPHIC OUTCOMES | - |
dc.subject | CTO REGISTRY | - |
dc.subject | RECANALIZATION | - |
dc.subject | METAANALYSIS | - |
dc.subject | LESIONS | - |
dc.subject | SCORE | - |
dc.subject | EFFICACY | - |
dc.subject | ARTERIES | - |
dc.subject | IMPACT | - |
dc.title | Predictors of poor clinical outcomes after successful chronic total occlusion intervention with drug-eluting stents | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yu, Cheol Woong | - |
dc.contributor.affiliatedAuthor | Rha, Seung-Woon | - |
dc.identifier.doi | 10.1097/MCA.0000000000000498 | - |
dc.identifier.scopusid | 2-s2.0-85019669076 | - |
dc.identifier.wosid | 000405419800006 | - |
dc.identifier.bibliographicCitation | CORONARY ARTERY DISEASE, v.28, no.5, pp.381 - 386 | - |
dc.relation.isPartOf | CORONARY ARTERY DISEASE | - |
dc.citation.title | CORONARY ARTERY DISEASE | - |
dc.citation.volume | 28 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 381 | - |
dc.citation.endPage | 386 | - |
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 | ANGIOGRAPHIC OUTCOMES | - |
dc.subject.keywordPlus | CTO REGISTRY | - |
dc.subject.keywordPlus | RECANALIZATION | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | LESIONS | - |
dc.subject.keywordPlus | SCORE | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordPlus | ARTERIES | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordAuthor | chronic total occlusion | - |
dc.subject.keywordAuthor | drug-eluting stent | - |
dc.subject.keywordAuthor | percutaneous coronary intervention | - |
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