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Association of Operator and Hospital Experience With Procedural Success Rates and Outcomes in Patients Undergoing Percutaneous Coronary Interventions for Chronic Total Occlusions
Author(s) -
Rami Zein,
Milan Seth,
Hussein Othman,
Howard Rosman,
Thomas LaLonde,
Khaldoon Alaswad,
Daniel S. Menees,
Edouard Daher,
Rajendra H. Mehta,
Hitinder S. Gurm
Publication year - 2020
Publication title -
circulation cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.621
H-Index - 95
eISSN - 1941-7632
pISSN - 1941-7640
DOI - 10.1161/circinterventions.119.008863
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , logistic regression , cardiology , psychological intervention , emergency medicine , myocardial infarction , psychiatry
Operator and hospital CTO-PCI experiences were directly related to procedural success but were not related to major adverse cardiac event among patients undergoing CTO-PCIs. Inexperienced operators at high experience centers had significantly higher success but not major adverse cardiac event rates compared with inexperienced operators at low experience centers. These data suggested that CTO-PCI safety and success could potentially be improved by selective referral of these procedures to experienced operators working at highly experienced centers.

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