Evidence map›Paper›PMID 35656976›Full record

ArticleJournal of the American Heart Association2022

Risk Burden of Coronary Perforation in Chronic Total Occlusion Recanalization: Latin American CTO Registry Analysis.

Marcelo Harada Ribeiro, Carlos M Campos, Lucio Padilla, Antonio Carlos B da Silva, João Eduardo T de Paula, Marco Alcantara, Ricardo Santiago, Franklin Hanna, Franciele R da Silva, Karlyse C Belli and 8 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Coronary Artery Fistulous Perforation Effectively Managed During Chronic Total Occlusion Recanalization: A Case Report.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  2. 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

18 authors at 9 institutions in 6 countries.

Marcelo Harada RibeiroHeart Institute (InCor)Universidade de São Paulo (USP) São Paulo Brazil.ORCID 0000-0003-4458-6835
Carlos M CamposHeart Institute (InCor)Universidade de São Paulo (USP) São Paulo Brazil.ORCID 0000-0003-1734-6924
Lucio PadillaInterventional Cardiology Division Instituto Cardiovascular de Buenos Aires Buenos Aires Argentina.
Antonio Carlos B da SilvaInterventional Cardiology Division Hospital São José do Avaí, Itaperuna Rio de Janeiro Brazil.
João Eduardo T de PaulaInterventional Cardiology Division Instituto Cardiovascular de Linhares UNICOR Linhares Espírito Santo Brazil.ORCID 0000-0002-5284-9183
Marco AlcantaraCentro Médico Nacional 20 de Noviembre ISSSTE System Mexico City México.
Ricardo SantiagoBayamon Heart & Lung Institute San Juan Puerto Rico.
Franklin HannaClinica Confamiliar Pereira Colombia.ORCID 0000-0003-3386-9207
Franciele R da SilvaInterventional Cardiology Division Instituto de Cardiologia do Rio Grande do Sul Porto Alegre Brazil.
Karlyse C BelliInterventional Cardiology Division Instituto de Cardiologia do Rio Grande do Sul Porto Alegre Brazil.ORCID 0000-0001-8310-7572
Lorenzo AzzaliniDivision of Cardiology Department of Medicine University of Washington Seattle WA.ORCID 0000-0001-9758-0360
Pedro P de OliveiraInterventional Cardiology Division Instituto de Cardiologia do Rio Grande do Sul Porto Alegre Brazil.ORCID 0000-0002-9027-0623
Gustavo N AraujoImperial Hospital de Caridade Florianópolis Santa Catarina Brazil.ORCID 0000-0002-1989-1670
Vincenzo SucatoDepartment of PROMISE University of Palermo Palermo Italy.ORCID 0000-0001-9514-1575
Kambis MashayekhiDivision of Cardiology and Angiology II University Heartcenter Freiburg - Bad Krozingen Germany.ORCID 0000-0001-8119-8941
Alfredo R GalassiDepartment of PROMISE University of Palermo Palermo Italy.ORCID 0000-0002-9366-2251
Alexandre AbizaidHeart Institute (InCor)Universidade de São Paulo (USP) São Paulo Brazil.ORCID 0000-0001-8689-9990
Alexandre QuadrosInterventional Cardiology Division Instituto de Cardiologia do Rio Grande do Sul Porto Alegre Brazil.ORCID 0000-0002-3192-8835
Fundação Universitária de Cardiologia · BRUniversidade de São Paulo · BRUniversity of Palermo · ITHospital São José do Avaí · BRInstitute for Social Security and Services for State Workers · MXInstituto Cardiovascular de Buenos Aires · ARLung Institute · USUniversitäts-Herzzentrum Freiburg-Bad Krozingen · DEUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Coronary perforation is a life-threatening complication of acute percutaneous coronary intervention (PCI) for chronic total occlusions (CTO), but data on midterm outcomes are limited. Methods and Results Data from LATAM (Latin American)-CTO Registry (57 centers; 9 countries) were analyzed. We assessed the risk of 30-day, 1-year major adverse cardiac events of coronary perforation using time-to-event and weighted composite end point analysis having CTO PCI without perforation as comparators. Additionally, we studied the independent predictors of perforation in these patients. Of 2054 patients who underwent CTO PCI between 2015 and 2018, the median Multicenter CTO Registry in Japan and Prospective Global Registry for the Study of Chronic Total Occlusion Intervention-Chronic total occlusions scores were 2.0 (1.0-3.0) and 1.0 (0.0-2.0), respectively. The perforation rate was 3.7%, of which 55% were Ellis class 1. After 1-year coronary perforation had higher major adverse cardiac events rates (24.9% versus 13.3%;

Indexed as

Heart InjuriesPercutaneous Coronary InterventionChronic DiseaseCoronary AngiographyHumansLatin AmericaProspective StudiesRegistriesRisk FactorsTime FactorsTreatment Outcomeacute myocardial infarctionchronic total occlusioncoronary perforationpercutaneous coronary interventiontarget vessel revascularization

Identifiers

PMID35656976
PMCPMC9238716
OpenAlexW4281768386

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.