Research Article

Contemporary Strategies and Outcomes of Dedicated Chronic Total Occlusion Percutaneous Coronary Intervention Programs: A Prospective Multicentre Registry

Table 1

Baseline patient characteristics.

All (n = 920)Years 1–4 (n = 301)Years 5–9 (n = 619)P value

Demographics
 Age66 ± 1065 ± 1166 ± 100.201
 Male784 (85.2)259 (86.0)525 (84.8)0.692
 BMI28.5 ± 8.129.6 ± 12.728.0 ± 4.40.045

Risk factors
 Current smoker202 (22.0)66 (21.9)136 (22.0)1.0
 Hypertension634 (68.9)188 (62.5)446 (72.1)0.004
 Hypercholesterolemia784 (85.2)230 (76.4)554 (89.5)<0.001
 Diabetes251 (27.3)79 (26.2)172 (27.8)0.637

Medical history
 Prior MI338 (36.7)92 (30.6)246 (39.7)0.007
 Prior PCI436 (47.4)132 (43.9)304 (49.1)0.140
 Prior CABG130 (14.1)37 (12.3)93 (15.0)0.313
 Prior stroke59 (6.4)22 (7.3)37 (6.0)0.474
 PAD193 (21.0)62 (20.7)131 (21.2)0.931
 CKD211 (23.3)64 (22.1)147 (23.9)0.556
 Multivessel disease489 (56.4)165 (54.8)324 (57.2)0.518

LV function
 LV EF55 ± 1257 ± 1254 ± 12<0.001
 LV EF ≤ 35%83 (9.2)21 (7.0)62 (10.4)0.113

CTO presentation
 ACS136 (14.8)43 (14.3)93 (15.1)0.768
 Stable angina570 (62.4)185 (61.5)385 (62.9)0.716
 Atypical chest pain21 (2.3)5 (1.7)16 (2.6)0.483
 Asymptomatic135 (15.0)61 (20.3)74 (12.3)0.002
 Silent ischemia275 (32.5)90 (30.0)185 (33.8)0.283

Target vessel
 LAD248 (27.0)89 (29.6)159 (25.7)0.235
 CX150 (16.3)49 (16.3)101 (16.3)1.0
 RCA516 (56.1)160 (53.2)356 (57.5)0.229
 LMCA6 (0.7)3 (1.0)3 (0.5)0.399

ACS, acute coronary syndrome; BMI, body mass index; CTO, chronic total occlusion; CX, circumflex coronary artery; CKD, chronic kidney disease; LAD, left anterior descending artery; LV, left ventricular; LV EF, left ventricular ejection fraction; LMCA, left main coronary artery; PAD, peripheral artery disease; RCA, right coronary artery. Dichotomous variables are reported as number (percentages). Continuous variables are reported as means with standard deviation. Significant p values below 0.05 are shown in bold.