Evidence map›Paper›PMID 39399513›Full record

ArticleFrontiers in cardiovascular medicine2024

The impact of successful chronic total occlusion percutaneous coronary intervention on clinical outcomes: a tertiary single-center analysis.

Maximilian Will, Konstantin Schwarz, Simone Aufhauser, Gregor Leibundgut, Elisabeth Schmidt, David Mayer, Paul Vock, Josip A Borovac, Chun Shing Kwok, Gudrun Lamm and 2 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

12 authors.

Maximilian WillKarl Landsteiner University of Health Sciences, Krems, Austria.
Konstantin SchwarzKarl Landsteiner University of Health Sciences, Krems, Austria.
Simone AufhauserKarl Landsteiner University of Health Sciences, Krems, Austria.
Gregor LeibundgutKlinik für Kardiologie, Universitätsspital Basel, Basel, Switzerland.
Elisabeth SchmidtKarl Landsteiner University of Health Sciences, Krems, Austria.
David MayerKarl Landsteiner University of Health Sciences, Krems, Austria.
Paul VockKarl Landsteiner University of Health Sciences, Krems, Austria.
Josip A BorovacDivision of Interventional Cardiology, Cardiovascular Diseases Department, University Hospital of Split (KBC Split), Split, Croatia.
Chun Shing KwokDepartment of Cardiology, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom.
Gudrun LammKarl Landsteiner University of Health Sciences, Krems, Austria.
Julia MascherbauerKarl Landsteiner University of Health Sciences, Krems, Austria.
Thomas WeissKarl Landsteiner Institute for Cardiometabolics, Karl Landsteiner Society, St. Pölten, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The benefit of chronic total occlusion (CTO)-percutaneous coronary intervention (PCI) is controversial because of a lack of high-quality evidence. We aim to evaluate the impact of CTO-PCI on symptoms, quality of life and mortality. Methods: We conducted a retrospective single center study of patients with CTO-PCI in a tertiary center in Austria. The study outcomes were Canadian Cardiovascular Society (CCS) angina score, quality of life measured by Seattle Angina Questionnaire (SAQ), and death at median follow up for patients with successful vs. failed CTO-PCI. Results: A total of 300 patients underwent CTO-PCI for coronary artery disease, of which 252 (84%) were technically successful with median follow up of 3.4 years. There were no significant differences in in-hospital or all-cause mortality, major adverse cardiovascular event, or stent-related complications between the groups of failed and successful CTO-PCI. Among patients with successful CTO-PCI there was a significant improvement in CCS score, which was not found for the group with failed CTO-PCI. Successful reopening was associated with significant benefits of the SAQ domains of angina with stressful activity [3.7 ± 0.9 vs. 3.1 ± 0.5, Conclusion: While there was no significant difference in mortality, successful CTO-PCI was associated with greater reduction in angina and the use of nitrates compared to unsuccessful CTO-PCI.

Indexed as

chronic total occlusion (CTO)coronary artery disease (CAD)mortalitypercutaneous coronary intervention (PCI)quality of lifesymptoms

Identifiers

PMID39399513
PMCPMC11470476

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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.