Single versus Dual-Operator Approaches for Percutaneous Coronary Interventions within Chronic Total Occlusion-An Analysis of 27,788 Patients.

chronic total occlusion dual operator single operator

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
14 Jul 2023
Historique:
received: 28 05 2023
revised: 11 07 2023
accepted: 11 07 2023
medline: 29 7 2023
pubmed: 29 7 2023
entrez: 29 7 2023
Statut: epublish

Résumé

(1) Background: Since the treatment of chronic total occlusion (CTO) with percutaneous coronary intervention (PCI) is associated with high procedural complexity, it has been suggested to use a multi-operator approach. This study was aimed at evaluating the procedural outcomes of single (SO) versus dual-operator (DO) CTO-PCI approaches. (2) Methods: This retrospective analysis included data from the Polish Registry of Invasive Cardiology Procedures (ORPKI), collected between January 2014 and December 2020. To compare the DO and SO approaches, propensity score matching was introduced with equalized baseline features. (3) Results: The DO approach was applied in 3604 (13%) out of 27,788 CTO-PCI cases. Patients undergoing DO CTO-PCI experienced puncture-site bleeding less often than the SO group (0.1% vs. 0.3%,

Identifiants

pubmed: 37510798
pii: jcm12144684
doi: 10.3390/jcm12144684
pmc: PMC10380720
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Rafał Januszek (R)

Department of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Kraków, Poland.

Giuseppe De Luca (G)

Division of Cardiology, AOU Policlinico G. Martino, University of Messina, 98166 Messina, Italy.
Division of Cardiology, IRCCS Hospital Galeazzi-Sant'Ambrogio, 20161 Milan, Italy.

Wojciech Siłka (W)

Department of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Kraków, Poland.

Leszek Bryniarski (L)

Department of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Kraków, Poland.

Krzysztof Piotr Malinowski (KP)

Department of Bioinformatics and Telemedicine, Faculty of Medicine, Jagiellonian University Medical College, 31-008 Kraków, Poland.

Andrzej Surdacki (A)

Department of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Kraków, Poland.
Institute of Cardiology, Jagiellonian University Medical College, 31-008 Kraków, Poland.

Wojciech Wańha (W)

Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, 40-635 Katowice, Poland.

Stanisław Bartuś (S)

Department of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Kraków, Poland.
Institute of Cardiology, Jagiellonian University Medical College, 31-008 Kraków, Poland.

Aleksandra Piotrowska (A)

Faculty of Medicine and Health Sciences, Jan Kochanowski University, 25-369 Kielce, Poland.

Krzysztof Bartuś (K)

Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, John Paul II Hospital, 31-202 Kraków, Poland.

Kamil Pytlak (K)

Faculty of Medicine and Health Sciences, Jan Kochanowski University, 25-369 Kielce, Poland.

Zbigniew Siudak (Z)

Faculty of Medicine and Health Sciences, Jan Kochanowski University, 25-369 Kielce, Poland.

Classifications MeSH