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Vascular Access-Site Complications in Chronic Total Occlusion Percutaneous Coronary Intervention

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Alexandrou M.
Strepkos D.
Carvalho P. E. P.
Mutlu D.
Ser O. S.
Alaswad K.
Basir M. B.
Khelimskii D.
Krestyaninov O.
Khatri J. J.

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Background: Vascular access-site complications (VASC) can occur during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Methods: We compared the baseline and procedural characteristics, and outcomes of patients with versus without VASC in a large multicenter CTO PCI registry. VASC was defined as any of the following: small hematoma (hematoma = 5 cm), arteriovenous fistula, pseudoaneurysm and acute arterial closure. Results: VASC occurred in 158 of 16,810 CTO PCIs (0.9%). VASC patients were older (67 +/- 11 vs. 64 +/- 10 years, p 0.9) and procedural (82.3% vs. 85.9%, p = 0.2) success, but higher MACE (6.3% vs. 1.9%, p = 7 F were associated with VASC in patients undergoing CTO PCI.

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Alexandrou M., Strepkos D., Carvalho P. E. P., Mutlu D., Ser O. S., Alaswad K., Basir M. B., Khelimskii D., Krestyaninov O., Khatri J. J., et al., "Vascular Access-Site Complications in Chronic Total Occlusion Percutaneous Coronary Intervention", CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2025

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