Impact of Percutaneous Coronary Intervention for Chronic Total Occlusion in Non–Infarct-Related Arteries in Patients With Acute Myocardial Infarction (from the COREA-AMI Registry)

Successful revascularization of noninfarct related artery with chronic total occlusion among acute myocardial infarction patients

“…MACEs were reported in 3 studies. [ 20 – 22 ] There was a significant correlation between successful PCI of CTO and the lower incidence of MACEs (the absolute risk was 21.85% vs 43.48%; OR: 0.35, 95% CI: 0.24–0.5; P < .00001).…”

Desarrollo de un Programa de Oclusiones Totales Crónicas en la República Argentina - Colegio Argentino de Cardioangiólogos Intervencionistas

“…A los cuatro meses, el volumen de fin de diástole y la fracción de eyección evaluados por resonancia magnética nuclear fueron similares en ambos grupos, aunque se observó un marcada mejoría de la Fey en pacientes que recibieron una angioplastia a OTC de la arteria descendente anterior (Δ=6,8; IC95%: 1,1-12,6; p=0,002) 28 . Resultados similares se observaron el estudio COREA-AMI 29 . Como se mencionó previamente, el efecto de la angioplastia a OTC sobre la mortalidad es controvertida.…”

The impact of successful revascularization of coronary chronic total occlusions on long‐term clinical outcomes in patients with non‐ST‐segment elevation myocardial infarction

“…Similarly, coronary CTO in patients with NSTEMI and multi‐vessel coronary disease also predicts higher in‐hospital and 12‐month mortality . However, the effect of CTO PCI in patients with NSTEMI has not been well studied before and only one study showed successful PCI for CTO of non‐infarct‐related vessel is associated with improved long‐term clinical outcomes in patients consisted of STEMI and NSTEMI . Therefore, the purpose of this study was to assess clinical impact of revascularization of coronary CTO on the long‐term outcomes in this particular patient group with NSTEMI.…”

“…6 However, the effect of CTO PCI in patients with NSTEMI has not been well studied before and only one study showed successful PCI for CTO of non-infarct-related vessel is associated with improved long-term clinical outcomes in patients consisted of STEMI and NSTEMI. 7 Therefore, the purpose of this study was to assess clinical impact of revascularization of coronary CTO on the long-term outcomes in this particular patient group with NSTEMI. NSTEMI was defined as the absence of ST-segment elevation of ≥2 mm in contiguous chest leads, ≥1 mm in two or more standard leads, or a new left bundle branch block but the presence of positive cardiac necrosis markers with CK, CK-MB, and/or Troponin-I.…”