Validation of the OPEN-CLEAN Chronic Total Occlusion Percutaneous Coronary Intervention Perforation Score in a Multicenter Registry

Şimşek, Bahadir; Carlino, Mauro; Ojeda, Soledad; Pan, Manuel; Rinfret, Stéphane; Vemmou, Evangelia; Kostantinis, Spyridon; Nikolakopoulos, Ilias; Karácsonyi, Judit; Quadros, Alexandre Schaan de; Dens, Joseph; Rafeh, Nidal Abi; Agostoni, Pierfrancesco; Alaswad, Khaldoon; Avran, Alexandre; Belli, Karlyse Claudino; Choi, James W.; ElGuindy, Ahmed; Jaffer, Farouc A.; Doshi, Darshan; Karmpaliotis, Dimitri; Khatri, Jaikirshan; Khelimskii, Dmitrii; Knaapen, Paul; Manna, Alessio La; Krestyaninov, Oleg; Lamelas, Pablo; Padilla, Lucio; Oliveira, Pedro Piccaro de; Spratt, James C.; Takao, Masaki; Walsh, Simon; Göktekín, Ömer; Görgülü, Şevket; Mastrodemos, Olga C.; Allana, Salman; Rangan, Bavana V.; Kearney, Kathleen; Lombardi, William; Grantham, J. Aaron; Hirai, Taishi; Brilakis, Emmanouil S.; Azzalini, Lorenzo

doi:10.1016/j.amjcard.2022.11.023

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…The PROGRES-CTO complication scores and the OPEN-CLEAN perforation score also had good performance in external validation. [34][35][36] Therefore, these assessment tools could facilitate risk assessment, procedural planning, and patient counseling.…”

Section: Indications and Prevention Of Periprocedural Death In Cto Pcimentioning

confidence: 99%

Periprocedural Mortality in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry

Şimşek

Rempakos

Kostantinis

et al. 2023

Circ: Cardiovascular Interventions

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BACKGROUND: Death is a rare but devastating complication of chronic total occlusion (CTO) percutaneous coronary intervention. METHODS: We examined the clinical characteristics and procedural outcomes of patients who died periprocedurally in the Prospective Global Registry for the Study of CTO Interventions (PROGRESS-CTO). RESULTS: Of the 12 928 patients who underwent CTO percutaneous coronary intervention between 2012 and 2022, 52 (0.4%) died during the index hospitalization. Patients who died were more likely to have a history of heart failure (43% versus 28%; P =0.023). The J-CTO ([Multicenter CTO Registry of Japan]; 2.8±1.1 versus 2.4±1.3; P =0.019), PROGRESS-CTO mortality (2.6±0.9 versus 1.6±1.1; P <0.001), and PROGRESS-CTO pericardiocentesis (2.9±1.1 versus 1.9±1.3; P <0.001) scores were higher in patients who died. In these patients, the use of left ventricular assist devices was also higher (41% versus 3.5%; P <0.001), and retrograde crossing was more often the first crossing strategy (33% versus 13%; P <0.001). The cause of death was cardiac in 43 patients (83%) and noncardiac in 9 patients (17%). Complications leading to cardiac death were: tamponade in 30 patients (58%), acute myocardial infarction in 9 (17.3%), and cardiac arrest/shock in 4 (7.7%). Noncardiac causes of death were: stroke in 3 (5.8%), renal failure in 2 (3.8%), respiratory distress in 2 (3.8%), and hemorrhagic shock in 2 (3.8%). CONCLUSIONS: Approximately 0.4% of patients who underwent CTO percutaneous coronary intervention died during the index hospitalization. The main cause of death was tamponade in 58%. PROGRESS-CTO complication scores might help in risk stratification and procedural planning in patients undergoing CTO percutaneous coronary intervention. REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique Identifier: NCT02061436.

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Section: Indications and Prevention Of Periprocedural Death In Cto Pcimentioning

confidence: 99%

Periprocedural Mortality in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry

Şimşek

Rempakos

Kostantinis

et al. 2023

Circ: Cardiovascular Interventions

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Challenges in the diagnosis and management of dry tamponade

Tiwana,

Kearney,

Lombardi

et al. 2024

Cathet Cardio Intervent

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Dry tamponade is a rare complication of percutaneous coronary intervention. It encompasses a heterogenous pathophysiology and is used to describe hemodynamic compromise secondary to a coronary artery perforation, without free‐flowing fluid in the pericardium. Tamponade physiology can result from compressive epicardial, intramyocardial, subepicardial hematomas, or dissecting intramyocardial hematomas. The diagnosis of dry tamponade requires hemodynamic derangement in the context of a compressive hematoma as demonstrated by imaging. Although echocardiography can often help identify dry tamponade, additional studies including right heart catheterization, computed tomography, or cardiac magnetic resonance imaging can inform the exact mechanism and help guide management. This article describes a case of dry tamponade, reviews the existing literature on the topic, and offers expert recommendations on diagnosis and management.

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Preprocedural Planning for Chronic Total Occlusion Percutaneous Coronary Intervention

Gondi,

Goyal,

Kane

et al. 2024

The American Journal of Cardiology

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Validation of the OPEN-CLEAN Chronic Total Occlusion Percutaneous Coronary Intervention Perforation Score in a Multicenter Registry

Cited by 3 publications

References 18 publications

Periprocedural Mortality in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry

Periprocedural Mortality in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry

Challenges in the diagnosis and management of dry tamponade

Preprocedural Planning for Chronic Total Occlusion Percutaneous Coronary Intervention

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