Late Survival Benefit of Percutaneous Coronary Intervention Compared With Medical Therapy in Patients With Coronary Chronic Total Occlusion: A 10‐Year Follow‐Up Study
In: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Jg. 10 (2021-03-01), Heft 6
Online
academicJournal
Zugriff:
Background As an initial treatment strategy, percutaneous coronary intervention (PCI) for coronary chronic total occlusion (CTO) did not show midterm survival benefits compared with optimal medical therapy (OMT). We sought to evaluate the benefit of PCI compared with OMT in patients with CTO over extended long‐term follow‐up. Methods and Results Between March 2003 and February 2012, 2024 patients with CTO were enrolled in a single‐center registry and followed for ≈10 years. We excluded patients with CTO who underwent coronary artery bypass graft (n=477) and classified patients into the CTO‐PCI group (n=883) or OMT group (n=664) according to initial treatment strategy. Patients with multivessel disease received PCI for obstructive non‐CTO lesions in both groups. In the CTO‐PCI group, 699 patients (79.2%) underwent successful revascularization. The CTO‐PCI group had a lower 10‐year rate of cardiac death (10.4% versus 22.3%; hazard ratio [HR], 0.44 [95% CI, 0.32–0.59]; P
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Late Survival Benefit of Percutaneous Coronary Intervention Compared With Medical Therapy in Patients With Coronary Chronic Total Occlusion: A 10‐Year Follow‐Up Study
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Autor/in / Beteiligte Person: | Taek Kyu Park ; Seung Hun Lee ; Ki Hong Choi ; Joo Myung Lee ; Jeong Hoon Yang ; Young Bin Song ; Hahn, Joo‐Yong ; Choi, Jin‐Ho ; Gwon, Hyeon‐Cheol ; Sang Hoon Lee ; Choi, Seung‐Hyuk |
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Zeitschrift: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Jg. 10 (2021-03-01), Heft 6 |
Veröffentlichung: | Wiley, 2021 |
Medientyp: | academicJournal |
ISSN: | 2047-9980 (print) |
DOI: | 10.1161/JAHA.120.019022 |
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