Evidence map›Paper›PMID 30595272›Full record

ArticleIndian heart journal2018

Predictors of success in percutaneous Coronary intervention for chronic total occlusion.

Ashwin B Mehta, Nihar Mehta, Rahul Chhabria, Vivek Mandurke, Nilesh Tawade, Nikesh Jain, Ajit Desai, S R Handa

Erratum issuedAbstract read
In one paragraph

Article in Indian heart journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Coronary Angiography Characteristics as Predictor of Successful Chronic Total Occlusion Recanalization.The International journal of angiology : official publication of the International College of Angiology, Inc · 2020
    Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ashwin B MehtaJaslok Hospital and Research Centre, Mumbai, India. Electronic address: drmehta_a@yahoo.com.
Nihar MehtaJaslok Hospital and Research Centre, Mumbai, India. Electronic address: dr.niharmehta@gmail.com.
Rahul ChhabriaJaslok Hospital and Research Centre, Mumbai, India. Electronic address: drrahulchhabria@gmail.com.
Vivek MandurkeJaslok Hospital and Research Centre, Mumbai, India. Electronic address: drvivekmadurke@gmail.com.
Nilesh TawadeJaslok Hospital and Research Centre, Mumbai, India. Electronic address: tawade84@gmail.com.
Nikesh JainJaslok Hospital and Research Centre, Mumbai, India. Electronic address: drnikeshjain@gmail.com.
Ajit DesaiJaslok Hospital and Research Centre, Mumbai, India. Electronic address: dr_ajitd@hotmail.com.
S R HandaJaslok Hospital and Research Centre, Mumbai, India. Electronic address: srhanda@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed a retrospective analysis of 146 chronic total occlusion CTO patients to evaluate the antecedents of success and failure in CTO - Percutaneous Coronary Intervention (PCI) in Indian patients. The study aimed to identify the technical success rate, analyse immediate patient outcomes, and understand the factors impacting the successful outcomes. Our results showed that J-CTO (Multicenter CTO Registry of Japan) scores correlate well with the success rates of CTO-PCI and two most important factors deciding failure are lesion length more than 20 mm and lesions with calcification. Most important step to success of CTO is wiring, once wire crosses the segment, success rates of the procedure is around 97%. The wire escalation strategy has to be modified once the initial soft (polymer) wire fails, it's reasonable to use high tip load wire like conquest pro without the use of intermediate wires (except in presence of tortuosity). At 1 year follow up of these patients, there was a statistically significant drop in angina class and major adverse cardiac event rates in the successful CTO group.

Indexed as

RegistriesChronic DiseaseCoronary AngiographyCoronary OcclusionFemaleHumansIncidenceIndiaMaleMiddle AgedPercutaneous Coronary InterventionPostoperative ComplicationsRetrospective StudiesSurvival RateTime FactorsTreatment OutcomeCTO Success predictors

Identifiers

PMID30595272
PMCPMC6309151

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.