@article{210c9aa026ba4f079f7fefc39d6386e6,
title = "Impact of adherence to the hybrid algorithm for initial crossing strategy selection in chronic total occlusion percutaneous coronary intervention",
abstract = "Introduction and objectives: The hybrid algorithm was designed to assist with initial and subsequent crossing strategy selection in chronic total occlusion (CTO) percutaneous coronary interventions (PCIs). However, the success of the initially selected strategy has received limited study. Methods: We examined the impact of adherence to the hybrid algorithm recommendation for initial CTO crossing technique selection in 4178 CTO PCIs from a large multicenter registry. Results: The initial crossing strategy was concordant with the hybrid algorithm recommendation in 1833 interventions (44%). Patients in the concordant group had a similar age to those in the discordant group but a lower mean J-CTO score (2.0 ± 1.4 vs 2.8 ± 1.1; P < .01). The concordant group showed higher technical success with the first crossing strategy (68% vs 48%; P < .01) and higher overall technical success (88% vs 83%; P < .01) with no difference in the incidence of in-hospital major adverse events (1.8% vs 2.3%; P = .26). In multivariable analysis, after adjustment for age, prior myocardial infarction, prior PCI, prior coronary artery bypass grafting, J-CTO score, and scheduled CTO PCI, nonadherence to the hybrid algorithm was independently associated with lower technical success of the initial crossing strategy (odds ratio, 0.55; 95% confidence interval, 0.48-0.64; P < .01). Conclusions: Adherence to the hybrid algorithm for initial crossing strategy selection is associated with higher CTO PCI success but similar in-hospital major adverse cardiac events.",
keywords = "Chronic total occlusion, Hybrid algorithm, Percutaneous coronary intervention, Retrograde approach",
author = "Iosif Xenogiannis and Khaldoon Alaswad and Oleg Krestyaninov and Dmitrii Khelimskii and Khatri, {Jaikirshan J.} and Choi, {James W.} and Jaffer, {Farouc A.} and Mitul Patel and Ehtisham Mahmud and Doing, {Anthony H.} and Phil Dattilo and Michalis Koutouzis and Ioannis Tsiafoutis and Barry Uretsky and Jefferson, {Brian K.} and Taral Patel and Wissam Jaber and Habib Samady and Sheikh, {Abdul M.} and Yeh, {Robert W.} and Hector Tamez and Basem Elbarouni and Love, {Michael P.} and {Abi Rafeh}, Nidal and Assaad Maalouf and Fadi, {Abou Jaoudeh} and Catalin Toma and Shah, {Alpesh R.} and Chandwaney, {Raj H.} and Mohamed Omer and Megaly, {Michael S.} and Evangelia Vemmou and Ilias Nikolakopoulos and Rangan, {Bavana V.} and Santiago Garcia and Shuaib Abdullah and Subhash Banerjee and Burke, {M. Nicholas} and Dimitri Karmpaliotis and Brilakis, {Emmanouil S.}",
note = "Funding Information: Los datos del estudio se recopilaron y administraron utilizando Research Electronic Data Capture (REDCap), herramientas de captura de datos electr{\'o}nicos alojadas en la Minneapolis Heart Institute Foundation (MHIF), Mine{\'a}polis, Estados Unidos. REDCap es una aplicaci{\'o}n segura en l{\'i}nea dise{\~n}ada para apoyar la captura de datos para estudios de investigaci{\'o}n, la cual proporciona: a) una interfaz intuitiva para la entrada de datos validados; b) registros de auditor{\'i}a para rastrear la manipulaci{\'o}n de datos y los procedimientos de exportaci{\'o}n; c) procedimientos de exportaci{\'o}n automatizados para descargas de datos sin interrupciones a paquetes estad{\'i}sticos comunes, y d) procedimientos para importar datos de fuentes externas. Publisher Copyright: {\textcopyright} 2020 Sociedad Espa{\~n}ola de Cardiolog{\'i}a",
year = "2021",
month = dec,
doi = "10.1016/j.recesp.2020.09.010",
language = "English (US)",
volume = "74",
pages = "1024--1032",
journal = "Revista Espanola de Cardiologia",
issn = "0300-8932",
publisher = "Ediciones Doyma, S.L.",
number = "12",
}