Evidence map›Paper›PMID 33868413›Full record

ReviewPostepy w kardiologii interwencyjnej = Advances in interventional cardiology2021

Chronic total occlusion percutaneous coronary intervention in everyday clinical practice - an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society.

Leszek Bryniarski, Maksymilian P Opolski, Jarosław Wójcik, Maciej Lesiak, Tomasz Pawłowski, Jakub Drozd, Wojciech Wojakowski, Sławomir Surowiec, Maciej Dąbrowski, Adam Witkowski and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Myocardial Infarction and All-Cause Mortality Following Percutaneous Coronary Intervention Versus Conservative Treatment of Chronic Total Occlusions: A West Denmark Heart Registry Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Observational
  3. Article
  4. 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

13 authors at 5 institutions in 1 country.

Leszek BryniarskiSecond Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Maksymilian P OpolskiDepartment of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland.
Jarosław WójcikHospital of Invasive Cardiology IKARDIA, Lublin/Nałęczów, Poland.
Maciej LesiakFirst Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.
Tomasz PawłowskiDepartment of Invasive Cardiology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Jakub DrozdDepartment of Cardiology, SP ZOZ MSWiA, Lublin, Poland.
Wojciech WojakowskiDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Sławomir SurowiecSecond Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Maciej DąbrowskiDepartment of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland.
Adam WitkowskiDepartment of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland.
Dariusz DudekSecond Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Marek GrygierFirst Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.
Stanisław BartuśSecond Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Institute of Cardiology · PLPoznan University of Medical Sciences · PLJagiellonian University · PLMedical University of Silesia · PLPostgraduate School of Molecular Medicine · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary chronic total occlusions (CTO) are increasingly encountered during invasive and non-invasive coronary angiography and remain the most challenging lesions for percutaneous revascularization. During recent years success rates and safety outcomes of CTO percutaneous coronary intervention (PCI) have substantially improved, particularly due to the introduction of new techniques and dedicated equipment as well as specialized training programs of CTO operators. Significantly, the steady advances in CTO PCI techniques have coincided with the new data from randomized clinical trials supporting the role of percutaneous recanalization of CTO in relieving angina and improving the quality of life. The current expert consensus document outlines the rationale, clinical outcomes as well as technical, safety and reimbursement issues of CTO PCI. In addition, the requirements for achieving and maintaining competency in CTO PCI among interventional cardiologists are discussed. Finally, we present the modified hybrid algorithm (the so-called Polish hybrid algorithm) providing some unique refinements to the contemporary CTO PCI strategies. Continuous efforts (including active engagement with the payer) are urgently needed to increase guideline-recommended referrals to CTO PCI, and thus improve the quality of life of CTO patients in Poland.

Indexed as

coronary chronic total occlusionhybrid algorithmpercutaneous coronary intervention

Identifiers

PMID33868413
PMCPMC8039914
OpenAlexW3152906109

What OpenQuestion holds

Textmetadata
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.