Percutaneous Coronary Intervention Versus Optimal Medical Therapy for Chronic Total Coronary Occlusion With Well‐Developed Collaterals by Se Yeon Choi,

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Presentation transcript:

Percutaneous Coronary Intervention Versus Optimal Medical Therapy for Chronic Total Coronary Occlusion With Well‐Developed Collaterals by Se Yeon Choi, Byoung Geol Choi, Seung‐Woon Rha, Man Jong Baek, Yang Gi Ryu, Yoonjee Park, Jae Kyeong Byun, Minsuk Shim, Hu Li, Ahmed Mashaly, Won Young Jang, Woohyeun Kim, Jah Yeon Choi, Eun Jin Park, Jin Oh Na, Cheol Ung Choi, Hong Euy Lim, Eung Ju Kim, Chang Gyu Park, Hong Seog Seo, and Dong Joo Oh J Am Heart Assoc Volume 6(9):e006357 September 13, 2017 © 2017 Se Yeon Choi et al.

Study flow chart. Study flow chart. CTO indicates chronic total occlusion; OMT, optimal medical therapy; PCI, percutaneous coronary intervention. Se Yeon Choi et al. J Am Heart Assoc 2017;6:e006357 © 2017 Se Yeon Choi et al.

Annual trends in success rate of CTO PCI Annual trends in success rate of CTO PCI. CTO indicates chronic total occlusion; PCI, percutaneous coronary intervention. Annual trends in success rate of CTO PCI. CTO indicates chronic total occlusion; PCI, percutaneous coronary intervention. Se Yeon Choi et al. J Am Heart Assoc 2017;6:e006357 © 2017 Se Yeon Choi et al.

The composite total death and myocardial infarction free survival by Kaplan–Meier curves. The composite total death and myocardial infarction free survival by Kaplan–Meier curves. CI indicates confidence interval; HR, hazard ratio; OMT, optimal medical therapy; PCI, percutaneous coronary intervention. Se Yeon Choi et al. J Am Heart Assoc 2017;6:e006357 © 2017 Se Yeon Choi et al.

Changes of LVEF using paired t test analysis in the first 1 Changes of LVEF using paired t test analysis in the first 1.7 years after revascularization. Changes of LVEF using paired t test analysis in the first 1.7 years after revascularization. A through C, Change of LVEF in CTO‐PCI patients after propensity score matching; all CTO‐PCI patients (A), CTO‐PCI patients with reduced LVEF (≤50%, B), and CTO‐PCI patients with near‐normal LVEF (>50%, C). D through F, Change of LVEF in CTO‐OMT patients after propensity score matching; All CTO‐OMT patients (D), CTO‐OMT patients with reduced LVEF (≤50%, E), and CTO‐OMT patients with near‐normal LVEF (>50%, F). G, Comparison for changed LVEF between CTO‐OMT with CTO‐PCI patients using Student t test. CTO indicates chronic total occlusion; LVEF, left ventricular ejection fraction; OMT, optimal medical therapy; PCI, percutaneous coronary intervention. Se Yeon Choi et al. J Am Heart Assoc 2017;6:e006357 © 2017 Se Yeon Choi et al.

Subgroup analysis of the composite of total death and myocardial infarction. Subgroup analysis of the composite of total death and myocardial infarction. CCS indicates Canadian Cardiovascular Society class; CI, confidence interval; CTO, chronic total occlusion; LAD, left anterior descending artery; LV, left ventricular; OMT, optimal medical therapy; PCI, percutaneous coronary intervention. Se Yeon Choi et al. J Am Heart Assoc 2017;6:e006357 © 2017 Se Yeon Choi et al.