Temporal Trends in Complex Percutaneous Coronary Interventions.
CTO (chronic total occlusion)
PCI—percutaneous coronary intervention
SVG = saphenous vein graft
bifurcation
complexity
left main
trends
Journal
Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388
Informations de publication
Date de publication:
2022
2022
Historique:
received:
05
04
2022
accepted:
07
06
2022
entrez:
11
7
2022
pubmed:
12
7
2022
medline:
12
7
2022
Statut:
epublish
Résumé
Accumulated experience combined with technological advancements in percutaneous coronary interventions (PCI) over the past four decades, has led to a gradual increase in PCI utilization and complexity. We aimed to investigate the temporal trends in PCI complexity and the outcomes of complex PCI (C-PCI) in our institution. We analyzed 20,301 consecutive PCI procedures performed over a 12-year period. C-PCI was defined as a procedure involving at least one of the following: Chronic total occlusion (CTO), left main (LM), bifurcation or saphenous vein graft (SVG) PCI. Four periods of 3-year time intervals were defined (2008-10, 2011-2013, 2014-2016, 2017-2019), and temporal trends in the rate and outcomes of C-PCI within these intervals were studied. Endpoints included mortality and major adverse cardiac events [MACE: death, acute myocardial infarction (MI), and target vessel revascularization (TVR)] at 1 year. A total of 5,647 (27.8%) C-PCI procedures were performed. The rate of C-PCI has risen significantly since 2,017 (31.2%, In the current cohort, we have detected a temporal increase in PCI complexity coupled with improved 1-year clinical outcomes in C-PCI.
Sections du résumé
Background
UNASSIGNED
Accumulated experience combined with technological advancements in percutaneous coronary interventions (PCI) over the past four decades, has led to a gradual increase in PCI utilization and complexity. We aimed to investigate the temporal trends in PCI complexity and the outcomes of complex PCI (C-PCI) in our institution.
Methods
UNASSIGNED
We analyzed 20,301 consecutive PCI procedures performed over a 12-year period. C-PCI was defined as a procedure involving at least one of the following: Chronic total occlusion (CTO), left main (LM), bifurcation or saphenous vein graft (SVG) PCI. Four periods of 3-year time intervals were defined (2008-10, 2011-2013, 2014-2016, 2017-2019), and temporal trends in the rate and outcomes of C-PCI within these intervals were studied. Endpoints included mortality and major adverse cardiac events [MACE: death, acute myocardial infarction (MI), and target vessel revascularization (TVR)] at 1 year.
Results
UNASSIGNED
A total of 5,647 (27.8%) C-PCI procedures were performed. The rate of C-PCI has risen significantly since 2,017 (31.2%,
Conclusion
UNASSIGNED
In the current cohort, we have detected a temporal increase in PCI complexity coupled with improved 1-year clinical outcomes in C-PCI.
Identifiants
pubmed: 35811722
doi: 10.3389/fcvm.2022.913588
pmc: PMC9263118
doi:
Types de publication
Journal Article
Langues
eng
Pagination
913588Informations de copyright
Copyright © 2022 Kheifets, Vons, Bental, Vaknin-Assa, Greenberg, Samara, Codner, Wittberg, Talmor Barkan, Perl, Kornowski and Levi.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Catheter Cardiovasc Interv. 2020 Jul;96(1):E75-E83
pubmed: 31868317
Am J Cardiol. 2019 Sep 1;124(5):688-695
pubmed: 31307663
PLoS One. 2015 Jun 29;10(6):e0127217
pubmed: 26121583
Int J Cardiol. 2018 Oct 1;268:61-67
pubmed: 30041804
J Am Coll Cardiol. 2016 Oct 25;68(17):1851-1864
pubmed: 27595509
Circulation. 2010 Mar 16;121(10):1235-43
pubmed: 20194880
Circ Cardiovasc Interv. 2018 Oct;11(10):e006229
pubmed: 30354635
Catheter Cardiovasc Interv. 2021 Feb 1;97(2):E227-E236
pubmed: 32438488
J Am Heart Assoc. 2017 Feb 17;6(2):
pubmed: 28213569
N Engl J Med. 2012 Dec 20;367(25):2375-84
pubmed: 23121323
Circulation. 2009 Jan 6;119(1):71-8
pubmed: 19103990
Circ Cardiovasc Interv. 2016 Mar;9(3):e003070
pubmed: 26957417
Eur Heart J. 2019 Jan 14;40(3):237-269
pubmed: 30165617
Open Heart. 2020 Jan 19;7(1):e000947
pubmed: 32076558
JACC Cardiovasc Interv. 2021 Nov 8;14(21):2315-2326
pubmed: 34736729
J Am Coll Cardiol. 2016 Sep 13;68(11):1233-1246
pubmed: 27609687
Circulation. 2019 Jul 30;140(5):420-433
pubmed: 31356129
Gen Thorac Cardiovasc Surg. 2017 Oct;65(10):549-556
pubmed: 28795296
N Engl J Med. 2019 Nov 7;381(19):1820-1830
pubmed: 31562798
JAMA Cardiol. 2019 Feb 1;4(2):100-109
pubmed: 30601910
N Engl J Med. 2009 Mar 5;360(10):961-72
pubmed: 19228612
Int J Cardiol. 2018 Oct 1;268:94-95
pubmed: 30041807
Curr Cardiol Rep. 2020 Feb 8;22(4):16
pubmed: 32036460
JACC Cardiovasc Interv. 2016 May 9;9(9):884-93
pubmed: 27085582
Circulation. 2019 Apr 2;139(14):1674-1683
pubmed: 30813758
J Am Heart Assoc. 2020 Jun 2;9(11):e016853
pubmed: 32458708
Circ Cardiovasc Interv. 2017 May;10(5):
pubmed: 28495896