Author/Editor		Kranjec, Igor; Zavrl, Dinko; Mrak, Miha; Bunc, Matjaž
Title		Robustness of percutaneously completed coronary revascularization in stable coronary artery disease
Type		članek
Vol. and No.		Letnik 70, št. 1
Publication year		2019
Volume		str. 78-86
ISSN		0003-3197 - Angiology
Language		eng
Abstract		Our study sought to assess long-term outcomes of percutaneously completed coronary revascularization (CCR) in patients withobstructive coronary artery disease (CAD) comprising chronic total occlusions (CTOs). Between 2010 and 2014, percutaneouscoronary interventions (PCIs) of the CTOs were attempted in 213 patients: the CCR was achieved in 125 patients (group 1),while the PCI failed in 88 patients (group 2). They were matched against 252 patients (group 3) with the CCR obtained by the non-CTO PCIs. In the 5-year follow-up, more adverse cardiovascular (CV) events occurred in group 2 (29.5% vs 4.8% in group 1 vs3.5% in group 3,P=.0001), mainly due to recurrent severe symptoms and additional revascularization of the CTOs; CV mortalitydid not seem to be significantly affected. Survival curves for the successful CTO and non-CTO PCIs appeared indistinguishable.Stent thromboses were infrequent in the CCR groups. In conclusion, long-term outcomes of the patients with the obstructiveCAD containing the CTOs showed a favorable outcome if the CCR had been achieved percutaneously.
Keywords		percutaneous coronary interventions chronic total occlusions complete coronary revascularization perkutani koronarni posegi kronične popolne okluzije popolna koronarna revaskularizacija