Abstract
The impact of revascularisation of chronic total occlusions (CTO) on the incidence of ventricular arrhythmias (VA) remains to be elucidated. Based on prospectively gathered data, the recurrence rate of VAs following CTO treatment was retrospectively investigated. Patients presenting with VAs as clinical indication for CTO revascularisation were retrospectively selected out of three Belgian CTO registries (i.e. Ziekenhuis Oost-Limburg, UZ Leuven and CHR de la Citadelle). Freedom of VAs was defined as absence of non-sustained or sustained tachycardias (VT), ventricular fibrillations (Vfib) and ventricular extrasystoles (VES; <2500 VES/24 h). Long-term outcome in terms of reoccurrence of VAs was evaluated by reviewing patient records. Between 2011 and 2019, 912 patients underwent a CTO-PCI across three Belgian centres. In total 43 patients (5%) presented with VAs as clinical indication for CTO revascularisation. Overall follow-up was 723 (391 - 1144) days. Fourteen (33%), 18 (42%), 5 (11%) and 6 (14%) presented with >2500 VES/24 hrs, non-sustained VT, sustained VT and Vfib, respectively. In those patients with a one-year follow-up available (n = 34), overall recurrence rate of VAs was 38% (within VA group: VES: 25%, non-sustained ...Continue Reading
References
Apr 22, 2005·The American Journal of Cardiology·Ryan D ChristoffersonSamir R Kapadia
Sep 28, 2006·European Heart Journal·Gerald S WernerHans R Figulla
Feb 1, 2008·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Yumiko KaneiPaul Schweitzer
Feb 13, 2008·Circulation·Leslee J ShawUNKNOWN COURAGE Investigators
Feb 21, 2009·The New England Journal of Medicine·Patrick W SerruysUNKNOWN SYNTAX Investigators
May 12, 2009·Heart·S NiwanoT Izumi
Dec 30, 2011·Circulation. Arrhythmia and Electrophysiology·Luis Nombela-FrancoAlonso-Pulpón Luis
Mar 10, 2012·Journal of the American College of Cardiology·Paul FeferBradley H Strauss
Jan 16, 2013·International Journal of Cardiology·Cosmo GodinoAntonio Colombo
May 25, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Rajesh SachdevaBarry F Uretsky
Jun 15, 2013·European Heart Journal Cardiovascular Imaging·Lourens F H J RobbersAlbert C van Rossum
Jan 20, 2015·Journal of Cardiovascular Electrophysiology·Andrea Di MarcoPaolo Della Bella
Sep 6, 2015·The American Journal of Cardiology·Vijay RajaEmmanouil S Brilakis
Aug 4, 2016·Journal of Immigrant and Minority Health·Thomas A ArcurySara A Quandt
Aug 6, 2016·JACC. Cardiovascular Interventions·Truls RåmunddalElmir Omerovic
May 6, 2017·JACC. Cardiovascular Interventions·Thomas T TsaiEmmanouil S Brilakis
May 6, 2017·JACC. Cardiovascular Interventions·Luis Nombela-FrancoIgnacio Fernández-Lozano
May 12, 2017·HeartRhythm Case Reports·Sebastian KoenigBorislav Dinov
Sep 18, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Sing-Chien YapTamas Szili-Torok
Mar 20, 2018·The American Journal of Cardiology·Zhi-Quan WangYi-Gang Li
Sep 22, 2018·JACC. Clinical Electrophysiology·Wai Kin ChiUNKNOWN International Health Informatics Study (IHIS) Network
Feb 23, 2019·Heart·Cosmo GodinoAntonio Colombo
Nov 23, 2019·PloS One·Sebastian KönigBorislav Dinov