Evidence map›Paper›PMID 26966445›Full record

ArticlePostepy w kardiologii interwencyjnej = Advances in interventional cardiology2016

Predictors of successful percutaneous coronary intervention in chronic total coronary occlusions.

Ahmet Oytun Baykan, Mustafa Gür, Armağan Acele, Taner Şeker, Alaa Quisi, Ali Kıvrak, Arafat Yıldırım, Hakan Uçar, Selahattin Akyol, Murat Çaylı

Open access · goldAbstract read
In one paragraph

Article in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Differences in patients and lesion and procedure characteristics depending on the age of the coronary chronic total occlusion.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2019
    Article
  4. Article
  5. Does the effectiveness of recanalization of chronic occlusion depend on the location of the obstruction?Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2018
    Article
  6. Retrograde recanalization of chronic total occlusion. A novel maneuver of the old technique.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2017
    Article
  7. Which parameters are important before attempting chronic total occlusions recanalization?Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2016
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Ahmet Oytun BaykanDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Mustafa GürDepartment of Cardiology, School of Medicine, Kafkas University, Kars, Turkey.
Armağan AceleDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Taner ŞekerDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Alaa QuisiDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Ali KıvrakDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Arafat YıldırımDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Hakan UçarDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Selahattin AkyolDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Murat ÇaylıDepartment of Cardiology, School of Medicine, Dicle University, Diyarbakır, Turkey.
Dicle University · TRKafkas University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPercutaneous coronary intervention (PCI) of chronic total coronary occlusions (CTOs) is one of the most challenging procedures of interventional cardiology and is associated with increased risk of significant complications. However, debate continues in regard to which factors adversely influence the success rate of PCI and whether the benefits of revascularization of CTO outweigh the risks and challenges.

aimTo analyze the relationship between lesion characteristics and overall success rates as well as in-hospital outcomes after PCI for CTO. MATERIAL AND

methodsWe retrospectively examined the procedural outcomes of 173 consecutive native coronary artery CTO PCIs performed from February 2012 to March 2013 (78% men; mean age: 60.3 ±12.1 years).

resultsThe CTO target vessel was the right coronary artery (53.8%), circumflex (10.4%) and left anterior descending artery (35.8%), respectively. The retrograde approach was used in 13.9% of all procedures. Successful revascularization was achieved in 83.2% of patients. Major complications occurred in 13.3% of patients. In multivariate analysis, bridge collaterals, severe calcification and tortuosity as well as tandem occlusions were independent predictors of procedural failure, whereas existence of micro-channels was the only predictor of procedural success.

conclusionsRevascularization of coronary CTOs may be performed with high success and low major complication rates. Bridge collaterals, severe calcification and tortuosity, tandem/multiple occlusions and micro-channels were independent predictors of successful CTO revascularization.

Indexed as

coronary chronic total occlusionlesion characteristicsprocedural successrevascularization

Identifiers

PMID26966445
PMCPMC4777702
OpenAlexW2294866676

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.