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October 9, 2025Open Access

Predictive factors and clinical outcomes following successful contemporary percutaneous coronary interventions for chronic total occlusions

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Authors

JLJin LiGCGenrui ChenHWHuan Wang

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Overview

Analysis reveals low MACE rates and identifies key predictors in patients undergoing CTO-PCI.

Key Points

  • The incidence of major adverse cardiovascular events was low, observed in just 3.4% of patients treated with CTO-PCI.
  • Significant predictors for adverse outcomes included LVEF under 40% and a residual SYNTAX score of 12 or higher.
  • Prior PCI and aspirin usage were found to be protective factors against major adverse events after CTO-PCI.
  • Independent risk factors for target vessel revascularization included prior PCI and guide-wire manipulation time.

Cite This Study

Li et al. (2025) studied this question.

synapsesocial.com/papers/68e7d631bd66d359be626686https://doi.org/10.21203/rs.3.rs-7582516/v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long‐Term Follow‐up After Percutaneous Coronary Interventions for Chronic Total Occlusions2026
  2. 2Prognostic Benefit of the Target Vessel in Revascularization of Chronic Total Occluded Coronary Arteries: A Systematic Review and Meta‐Analysis2025 · 1 citations
  3. 3A Review of Indications and Guidelines of Chronic Total Occlusion Revascularization2025
  4. 4Long-Term Outcomes of Successful CTO PCI Using Antegrade and Retrograde Dissection and Re-entry Technique: The LOTUS study2025
  5. 5Prevalence and Prognostic Impact of Coronary Chronic Total Occlusions in Patients With Cardiogenic Shock2025