14:05 Galassi - Update EuroCTO Registry

•Download as PPTX, PDF•

1 like•313 views

This document summarizes data from the Euro CTO Registry from 2008-2013. It includes: - Growth in registry membership and procedures logged from 2008-2013. - High angiographic success rates between 85-87% over the years. - A shift from more antegrade to combined antegrade and retrograde procedures. - Operators became more experienced over time, with fewer having low volumes. - Retrograde procedures showed higher risks of major adverse cardiac events at 24 month follow up compared to antegrade procedures.

Health & Medicine

Alfredo R. Galassi and Nicolaus Reifart
The Sicilian and the German (sicilian)
Update Euro CTO Registry

Euro CTO Club Membership
0
10
20
30
40
50
60
2006 2007 2008 2009 2010 2011 2012 2013
13
21
29
33
38
43
52
55

0
500
1000
1500
2000
2500
3000
2008 2009 2010 2011 2012 2013
1303
1724
2189
2634 2603 2660
Online Registry 2008-2013

0
20
40
60
80
100
2006 2007 2008 2009 2010 2011 2012 2013
75 77
80 82
85.3 85 85.3 87
Angiographic Success
%

0%
20%
40%
60%
80%
100%
2008 2009 2010 2011 2012 2013
90 88.5 89.5 86
77
71
10 11.5 10.5 14
23
29
Antegrade Retrograde± Antegrade
Antegrade /Retrograde
Procedures

0%
20%
40%
60%
80%
100%
2008 2009 2010 2011 2012 2013
50
31 28.6
20.5 18.8 14.6
50
69 71.4
79.5 81.2 85.4
Antegrade only Retrograde + Antegrade
Antegrade /Retrograde
Operators
N=48N=48N=44N=35N=29N=24

0
20
40
60
80
100
2008 2009 2010 2011 2012 2013
85.5 86.5 88.1 87.6 87.8 90.3
73.6
64.2
77.1 76.5 77.8
79.5
Antegrade Retrograde
Angiographic Success
%

J-CTO score
Morino et al. J Am Coll Cardiol 2011

70
80
90
100
2008 2009 2010 2011 2012 2013
1
2
3
0
Angiographicsuccess(%)
J-CTOscore(median)
J-CTO score / Success
1.6 1.7 1.6
2
2.3
2.4
80
82
86 85 85. 3
87

0%
20%
40%
60%
80%
100%
2008 2009 2010 2011 2012 2013
50
23
17
11 13
5
33
27
17
25 16
22
17
40
49
34
37
23
10
17
36 31
42
4 8 8
<50 50-100 100-200 200-500 >500
Operators Experience
N=48N=48N=44N=35N=29N=24

2008-2012 CTO
interventions
8647 patients
9643 lesions
Drop out for missing data
47 patients
54 lesions
Included
8600 patients
9589 lesions
Retrograde (16.5%)
1395 patients
1582 lesions
Antegrade (83.5%)
7205 patients
8007 lesions
Procedural success
(75%)
1060 patients
1191 lesions
Procedural failure
(25%)
335 patients
391 lesions
Clinical follow-up
24.7 ± 15 months
931 patients (66.7%)
Retrograde CTO revascularization in Europe

Clinical Follow-up
0
10
20
30
40
50
MACCE Death MI Stroke Revasc.
13.6
1.9
3.2
0.6
13
8.7
0.6 2.3
0.9
8.6
23.9
4.3 5.4
0
23.6
Overall Successful Unsuccessful
%
P<0.001
P=0.001 P=0.014 P=0.120
P<0.001

Gender (M)
COPD
Prior MI
Prior PCI
LVEF < 35%
J-CTO score
Failure p<0.001
p<0.001
p=0.005
p=0.018
p=0.221
p=0.074
p=0.001
Predictors of MACCE Occurrence

Symptoms
(Successful Procedures)
0%
20%
40%
60%
80%
100%
CCS pre CCS post NYHA pre NYHA post
27.1
83.5
53.2
78.4
44
15.1
36.7
18.328.9
1.4
9.2
2.3
0 0 0.9 0.9
Class I Class II Class III Class IV
P<0.001 P<0.001

Credibility check of the online
EuroCTO-registry 2008-14
• Logical checks on data ( predefined
value ranges)
• Logical consistency-tests with respect
to other data fields
• Automatic warnings when data are
missing

At random : „ your patient was
selected for monitoring“
Automatic export of registry
parameters
9
parameters to be
checked by reviewer

Step 1 CD will automatically be uploaded (Videoloader)
Operator
It automatically stores
all files to prepare

Any run can be played at high resolution and be reviewed

4 Cineruns to be uploaded
1. CTO vessel with retrograde/antegrade
distal filling;
2. Wire passage
3. If applicable also for retrograde access
4. Final result showing residual lesion
and runoff.

Monitor:
• The monitor will evaluate the case in a
structured way that finally results in an
• a) agreement,
• b) agreement with slight differences or
• c) relevant disagreement (i.e. no CTO or
no TIMI 3 flow)

Summary: ERCTO-Monitoring
• Randomly selects 10% of cases
• Non biased controll of data entry
• Will indentify: errors of data entry,
interpretation or coding and errors of
intention
• Will increase credibility and scientific
value ( at no costs except our efforts)

SMARTbizz provides refurbished analytical instruments from major brands like Agilent, Waters, Shimadzu, AB Sciex, Varian, Perkin Elmer, and Thermo. They offer a 3-month warranty on all parts for purchased instruments and provide free technical training at their workshop in France. SMARTbizz also offers comprehensive after sales service and support throughout the sales process. Their stock includes a wide range of instruments for liquid chromatography, gas chromatography, mass spectrometry, atomic absorption spectroscopy, ICP, and FTIR.

Oral Report Rev2

guest845037

The document summarizes the Advanced Robotic Mapper (ARM) project. The ARM is a robot that can build a map of its environment. It includes components for position and orientation tracking, mapping sensors, a main controller and LCD, and software for mapping, navigation and user interfacing. Initial tests showed the robot could accurately map a surface 4+ feet away and travel a square path, but position tracking degraded over time. The compass was unstable when motors operated due to magnetic interference.

Flying High With Data Analytics & Optimization - Aviation Industry By Korina ...

Korina Mercado

Have you ever wondered how Aviation Industry with its complexity manages their big data to optimize their operations? This session is to discuss importance of data analytics in aviation industry operations as it uncovers hidden patterns, unknown correlations, market trends, customer preferences and other useful information. It is useful to airline operations in making efficient PI projects to provide well-informed business decision. The answer is hiding in your data sets, let’s leverage in our analytics journey! What gets measured gets managed. Your data will talk to you, if you’re willing to listen.

TC74VHCT04AFN PSpice Model (Free SPICE Model)

Tsuyoshi Horigome

This document provides a SPICE model for a Toshiba TC74VHCT04AFN CMOS digital integrated circuit. It includes: 1) A circuit schematic showing the 6 inverters in the device and their connections. 2) SPICE subcircuit models for each inverter and input/output ports. 3) Parameters for propagation delays, input/output voltage levels and other timing characteristics as measured versus simulated results.

Abi 7500-2.0.3

Elsa von Licy

This technical note provides instructions for setting up an ABI 7500 or 7500 FAST instrument to run RT2 Profiler PCR Arrays using SYBR Green for detection and quantification. The instructions outline opening the ABI 7500 software, defining the experiment properties including labeling the experiment and selecting the instrument, reagents, and ramp speed, assigning targets and samples to the plate layout, verifying the run method defaults to include a melting curve analysis, and starting the run.

Friday 1653 – karmpalotis – stent patency post cto pci

Euro CTO Club

1) Stent type, crossing technique, and patient factors influence stent patency after CTO PCI. Drug-eluting stents are superior to bare metal stents in reducing restenosis and reocclusion. 2) Techniques involving extensive subintimal dissection and re-entry are associated with higher restenosis rates, especially if outflow and final TIMI flow are poor. 3) Patient factors like diabetes are also important determinants of stent patency, with diabetics having higher restenosis risks. 4) The role of routine angiographic follow-up after CTO PCI remains controversial.

Marouane Boukhris - Fatal de-recruitment of an occluded LAD collaterals after...

Euro CTO Club

This document discusses tips and tricks for treating bifurcation chronic total occlusions (CTOs). It presents four case studies from Kasai Shoikai Hospital. The key lessons learned are that selection of the guide catheter is important for ostial CTOs, intravascular ultrasound can help identify the CTO entry point, the retrograde approach can be effective for bifurcation CTOs, and double-lumen catheters are useful for bifurcation CTO stenting.

09:00 CASE 1 - Christiansen - Antegrade case

Euro CTO Club

IS STENTING TO MAINTAIN VASCULAR PATENCY GOING TO BE THE FUTURE

AVATAR

This document discusses the use of stenting to maintain vascular patency for hemodialysis access and whether it will be the future standard. It notes that while stenting is established for coronary arteries, its role for arteriovenous fistulas (AVFs) and grafts (AVGs) is still controversial. The document reviews several studies that showed no benefit or increased complications from stenting AVFs/AVGs compared to angioplasty alone. However, it also discusses some limited evidence that covered stents or stents placed in specific situations like central venous stenosis may improve patency compared to angioplasty. Overall, the document questions whether stenting will become the standard given the lack of strong evidence, complications risks

A New Perspective on Vascular Access

Steve Chen

This document discusses vascular access for hemodialysis, including: - A brief history of vascular access methods from the 1920s to present. - Fistulas have the lowest failure rates but highest maturation times, while grafts are faster but have higher failure risks. Catheters have the fastest access but highest infection risks. - Late failures for fistulas are usually due to stenoses, while graft failures are often from thrombosis or infection. Interventions like angioplasty can prolong patency for grafts. - Neo-intimal hyperplasia is a major cause of access stenosis and failure. Preventive strategies aim to promote endothelialization and inhibit cell proliferation.

Endovascular therapy - device based review

pryce27

The document discusses peripheral arterial disease and endovascular treatment options. It provides an overview of various devices for treating peripheral artery disease including nitinol stents, stent-grafts, atherectomy devices, specialized balloons, and crossing devices. It then reviews the evidence from studies on these different technologies and discusses considerations for which devices may be best suited for different types of lesions.

Renal tumorlerin vena cava inferiora tumor trombus ekstansiyonu

uvcd

Expanding the role of covered stents for aneurysmal and stenotic lesions

uvcd

Friday 1815 maccia assessing both patient and staff dose at once

Euro CTO Club

This document discusses establishing a registry to monitor radiation doses for patients and staff during complex coronary angiography procedures called chronic total occlusions (CTO). It proposes a three-phase plan: 1) collecting technical and dose data from selected centers to establish baseline protocols, 2) expanding prospective data collection, and 3) promoting dissemination of results. The goal is to optimize radiation protection by providing protocols allowing the lowest possible doses for effective CTO procedures.

Meruzhan Saghatelyan - Retrograde Cases with serious complications: Benign co...

Euro CTO Club

Case 1 resulted in perforation of the proximal RCA and rupture of the atrial collateral channel during a retrograde CTO recanalization procedure due to manipulation of stiff wires and the Corsair microcatheter in a long and angulated lesion. The patient experienced a benign clinical course. Case 2 resulted in extravasation during retrograde CTO recanalization of the distal RCA due to perforation from stiff wire manipulation to penetrate the distal cap. The patient experienced hypotension and impaired right ventricle function but recovered after pericardial drainage. Case 3 involved a high-risk patient with diffuse coronary artery disease. During attempted antegrade recanalization of the RCA and distal LM

09:50 Reifart - CTO tool kit

Euro CTO Club

This document discusses strategies and tools for optimizing CTO procedures. It recommends: 1. Using long sheaths like Arrow to improve maneuverability and reduce friction. 2. Choosing a guiding catheter that provides stable support while allowing various devices through it, such as a 7F EBU or Amplatz. 3. Utilizing lubricious microcatheters like Corsair and guidewires like Confianza 9 to navigate tortuosity and calcification. Parallel wires and anchoring balloons can also help cross tough lesions.

Alfredo R. Galassi - The Euro CTO Club: The Registry

Euro CTO Club

The document summarizes findings from the Euro CTO Club registry regarding chronic total occlusion (CTO) percutaneous coronary intervention (PCI) from 2008-2015. Key points include: - The number of CTO PCI procedures increased annually in the registry from about 1000 to 2500. - Overall success rates have remained stable around 85-90% for the past 5 years. - Retrograde procedures increased significantly after 2011, accounting for up to 35% of cases. - Complication rates remained below 1.5-2%. - Higher scores on the J-CTO scale predict need for hybrid/retrograde approaches and dissection re-entry techniques to successfully treat more complex C

Dimitri Karmpaliotis - CTO PCI in Post-CABG Patients

Euro CTO Club

1) Over 100,000 CABG operations are performed annually in the US, with 10,000 re-do CABG procedures each year. Hundreds of thousands of post-CABG patients have occluded/degenerated grafts causing symptoms that are often under-treated. 2) CTO PCI in post-CABG patients is more technically challenging due to diffuse disease, calcified vessels, distortion of anatomy from vessel tenting, and progression of native vessel disease. 3) Technical success rates for CTO PCI in post-CABG patients have improved in recent years to over 80% due to improved techniques like retrograde recanalization, but it remains a difficult subset of patients with

Friday 0905 – christiansen – feasibility of a cto pci

Euro CTO Club

This document provides guidance on evaluating the feasibility of percutaneous coronary intervention (PCI) for a chronic total occlusion (CTO). Key factors to consider include: the patient's tolerance for a long procedure, contrast load, and radiation exposure; the CTO's proximal cap ambiguity, length, distal landing zone, and presence of interventional collaterals; and ensuring good quality angiography. With adequate planning and use of appropriate CTO techniques, feasibility is nearly always present for symptomatic patients. Success rates of CTO-PCI are reported to be 94% when using a planned approach.

Friday 1758 – goicolea pathology of cto

Euro CTO Club

This document discusses the pathology of chronic total occlusions (CTOs) in coronary arteries. It summarizes findings from a study of 95 CTO lesions examining differences between CTOs with prior bypass grafting, long-duration CTOs without grafting, and short-duration CTOs without grafting. Key findings include that CTOs with prior grafting had more calcification and organized thrombus compared to long-duration CTOs, and short-duration CTOs had more necrotic cores. About half of proximal CTO lumens were abrupt while most distal lumens were tapered. CTOs with prior grafting and long-duration CTOs showed more negative arterial remodeling compared to short

Nicolaus Reifart - How to minimize radiation

Euro CTO Club

This document provides 10 steps to minimize radiation exposure during percutaneous coronary interventions (PCI). It emphasizes applying the ALARA (as low as reasonably achievable) principle. The most important step is ensuring the procedure is truly necessary. Other key steps include using protective shielding close to the patient's body, positioning the detector closer to minimize scatter radiation, avoiding oblique angles when possible, reducing frame rates, using fluoroscopy instead of cine when able, and stepping back from the patient during imaging. Adopting these good radiation safety habits can reduce radiation dose by 30-80% depending on the technique. The document stresses tailoring dye usage based on kidney function and using superselective injections when possible to minimize dye consumption as well

A. Bufe - LIVE in thebox CTO

Euro CTO Club

TomaszJ. Guzik - Is chronic total occlusion a step in atherosclerosis natural...

Euro CTO Club

Chronic total occlusion may be more than just the natural progression of atherosclerosis. It may be a consequence of chronic plaque instability and inflammation over time. The pathogenesis of CTOs involves neovascularization within plaques, changes in plaque composition like necrosis, thrombosis, and calcification, and an increased inflammation score compared to other plaques. Understanding the biomarkers and pathogenesis of CTOs could help with prevention and treatment strategies for coronary artery disease.

Andrea Gagnor – Prevent complications

Euro CTO Club

1105 Lefevre - How to perform

Euro CTO Club

This document discusses how to perform and interpret coronary angiography for chronic total occlusion (CTO) recanalization. It emphasizes getting specific anatomic information from the angiogram such as vessel course, lesion length and characteristics, proximal and distal ambiguities, collateral circulation, and distal runoff to guide CTO PCI strategy and determine if a case is suitable. Key factors include obtaining high quality injection with optimal views of the occluded segment and ensuring good support is possible from donor vessels or collaterals. The angiogram should be studied in detail to answer questions about the CTO anatomy prior to attempting recanalization.

Andrea Gagnor - Femoral is (still) better

Euro CTO Club

This document discusses the use of radial versus femoral access for complex CTO PCI procedures. It notes that while radial access is associated with less radiation exposure and procedure time, it has technical limitations for complex CTO cases where larger devices are needed. The conclusion is that radial access can be used for simpler antegrade or retrograde CTO cases not requiring multiple devices, but femoral is generally better suited for more complex multi-device cases due to the ability to accommodate larger profiles. Safety must also be considered, as radial procedures are associated with risks like spasm that can prolong time.

2010科管局企業社會責任報告

CSRone

展望未來，竹科雖然已在完整紮實的聚落中建立了強近的創新優勢，卻也仍需持續克服無可迴避的嚴峻挑戰；這個挑戰的核心議題是：如何因應政府組織再造的架構中持續創新治理，從而使園區能以更大的開放、更包容的理性、更快的速度，支持聚落成員們推陳出新的突破，進而落實科技、生活、文化相調和的「台灣矽谷」。

FlashPAK-III_Operator_Guide

Roger A Sharp

Here are the steps to set the date and time on the FlashPAK: 1. Insert a job card with Supervisor Authority (see page 10). 2. Press Menu until you see the top level menu. 3. Scroll down and select System. 4. Scroll down and select Time. 5. Use the arrow buttons to change the date and time values. 6. Press Menu to save the settings. The date and time will be used for timestamps in the Event Log. Let me know if you have any other questions!

Viewers also liked

Saturday 1330 – asakura tips and tricks for bifurcation treatment in a cto ...

Euro CTO Club

09:00 CASE 1 - Christiansen - Antegrade case

Euro CTO Club

IS STENTING TO MAINTAIN VASCULAR PATENCY GOING TO BE THE FUTURE

AVATAR

A New Perspective on Vascular Access

Steve Chen

Endovascular therapy - device based review

pryce27

Renal tumorlerin vena cava inferiora tumor trombus ekstansiyonu

uvcd

Expanding the role of covered stents for aneurysmal and stenotic lesions

uvcd

Friday 1815 maccia assessing both patient and staff dose at once

Euro CTO Club

Meruzhan Saghatelyan - Retrograde Cases with serious complications: Benign co...

Euro CTO Club

09:50 Reifart - CTO tool kit

Euro CTO Club

Alfredo R. Galassi - The Euro CTO Club: The Registry

Euro CTO Club

Dimitri Karmpaliotis - CTO PCI in Post-CABG Patients

Euro CTO Club

Friday 0905 – christiansen – feasibility of a cto pci

Euro CTO Club

Friday 1758 – goicolea pathology of cto

Euro CTO Club

Nicolaus Reifart - How to minimize radiation

Euro CTO Club

A. Bufe - LIVE in thebox CTO

Euro CTO Club

TomaszJ. Guzik - Is chronic total occlusion a step in atherosclerosis natural...

Euro CTO Club

Andrea Gagnor – Prevent complications

Euro CTO Club

1105 Lefevre - How to perform

Euro CTO Club

Andrea Gagnor - Femoral is (still) better

Euro CTO Club

Viewers also liked (20)

Saturday 1330 – asakura tips and tricks for bifurcation treatment in a cto ...

09:00 CASE 1 - Christiansen - Antegrade case

IS STENTING TO MAINTAIN VASCULAR PATENCY GOING TO BE THE FUTURE

A New Perspective on Vascular Access

Endovascular therapy - device based review

Renal tumorlerin vena cava inferiora tumor trombus ekstansiyonu

Expanding the role of covered stents for aneurysmal and stenotic lesions

Friday 1815 maccia assessing both patient and staff dose at once

Meruzhan Saghatelyan - Retrograde Cases with serious complications: Benign co...

09:50 Reifart - CTO tool kit

Alfredo R. Galassi - The Euro CTO Club: The Registry

Dimitri Karmpaliotis - CTO PCI in Post-CABG Patients

Friday 0905 – christiansen – feasibility of a cto pci

Friday 1758 – goicolea pathology of cto

Nicolaus Reifart - How to minimize radiation

A. Bufe - LIVE in thebox CTO

TomaszJ. Guzik - Is chronic total occlusion a step in atherosclerosis natural...

Andrea Gagnor – Prevent complications

1105 Lefevre - How to perform

Andrea Gagnor - Femoral is (still) better

Similar to 14:05 Galassi - Update EuroCTO Registry

2010科管局企業社會責任報告

CSRone

FlashPAK-III_Operator_Guide

Roger A Sharp

Manual licor 6200 condensado

Ignacio Delfino Yurin

1999 Infiniti Q45 Service Repair Manual

fusjejfjskekmemm

This is the Highly Detailed factory service repair manual for the1999 INFINITI Q45, this Service Manual has detailed illustrations as well as step by step instructions,It is 100 percents complete and intact. they are specifically written for the do-it-yourself-er as well as the experienced mechanic.1999 INFINITI Q45 Service Repair Workshop Manual provides step-by-step instructions based on the complete dis-assembly of the machine. It is this level of detail, along with hundreds of photos and illustrations, that guide the reader through each service and repair procedure. Complete download comes in pdf format which can work under all PC based windows operating system and Mac also, All pages are printable. Using this repair manual is an inexpensive way to keep your vehicle working properly. Service Repair Manual Covers: General Information Maintenance Engine Mechanical Engine Lubrication & Cooling Systems Engine Control System Accelerator Control, Fuel & Exhaust Systems Automatic Transmission Propeller Shaft & Differential Carrier Front Axle & Front Suspension Rear Axle & Rear Suspension Brake System Steering System Restraint System Body & Trim Heater & Air Conditioner Electrical System Alphabetical Index File Format: PDF Compatible: All Versions of Windows & Mac Language: English Requirements: Adobe PDF Reader NO waiting, Buy from responsible seller and get INSTANT DOWNLOAD, Without wasting your hard-owned money on uncertainty or surprise! All pages are is great to have1999 INFINITI Q45 Service Repair Workshop Manual. Looking for some other Service Repair Manual,please check: https://www.aservicemanualpdf.com/ Thanks for visiting!

Technology forecasting using dea in the presence of infeasibility

dongjoon

As a predictive application of data envelopment analysis (DEA), technology forecasting using DEA (TFDEA) measures the rate of frontier shift by which the arrival of future technologies can be estimated. However, it is well known that DEA and therefore TFDEA may suffer from the issue of infeasible super-efficiency especially under the condition of variable returns to scale (VRS). This study develops an extended TFDEA model based on the modified super-efficiency model proposed by Cook, et al. [1] which has the benefit of yielding radial super-efficiency scores equivalent to those obtained from the original super-efficiency model [2] when feasibility is present. The previously published application of liquid crystal displays (LCD) [3] is revisited to illustrate the use of the new model. The results show the proposed approach makes a reasonable forecast for formerly infeasible targets as well as a consistent forecast for feasible targets.

Online Detection of Shutdown Periods in Chemical Plants: A Case Study

Manuel Martín

In process industry, chemical processes are controlled and monitored by using readings from multiple physical sensors across the plants. Such physical sensors are also supplemented by soft sensors, i.e. adaptive predictive models, which are often used for computing hard-to-measure variables of the process. For soft sensors to work well and adapt to changing operating conditions they need to be provided with relevant data. As production plants are regularly stopped, data instances generated during shutdown periods have to be identified to avoid updating these predictive models with wrong data. We present a case study concerned with a large chemical plant operation over a 2 years period. The task is to robustly and accurately identify the shutdown periods even in case of multiple sensor failures. State-of-the-art methods were evaluated using the first half of the dataset for calibration purposes and the other half for measuring the performance. Results show that shutdowns (i.e. sudden changes) can be quickly detected in any case but the detection delay of startups (i.e. gradual changes) is directly related with the choice of a window size.

Test Metrics

Devukjs

The document discusses metrics for tracking a project's test management process. It provides examples of metrics that could be captured at different stages of the testing lifecycle, including test execution rates, defect rates, requirements tracing, and environment issues. Guidelines are also presented for establishing a process to define, collect, analyze, and report on metrics on a regular basis to improve visibility and decision making.

AAeon-Aop-8070.pdf

Quang Bui

Well test procedures manual

Narendra Kumar Dewangan

This document provides procedures for well testing at ENI S.p.A. Agip Division. It outlines responsibilities for personnel involved in well testing, describes various types of production tests, safety barriers, downhole and surface equipment used, and procedures for preparing wells, installing test strings, executing tests, collecting data, sampling, and abandoning or suspending wells. The document is confidential property of ENI and intended to guide their technicians and engineers in well testing activities worldwide.

Developing a New Auto-Loading Analytical Prober

Phillip Corson

Ct omin

candemirel

This document discusses techniques for percutaneous coronary intervention (PCI) to treat chronic total occlusions (CTOs). It provides statistics on the number of CTO patients treated with PCI versus other options. Success rates for CTO-PCI have increased from around 50% in early studies to over 80% currently. Retrograde approaches and newer wires and devices have improved outcomes. Drug-eluting stents significantly reduce restenosis compared to bare metal stents for CTO-PCI. The Coracto randomized trial demonstrated the Coracto DES significantly reduced rates of restenosis and target vessel revascularization out to 6.5 years compared to a bare metal stent.

Q46F-82-Auto-Chem-Fluoride-Monitor.pdf

ENVIMART

Auditac tg 6 how to benefit from eurovent cert database and retrieve past eq...

Royal Mail

This document provides guidance for auditors on assessing the efficiency of air conditioning systems when documentation is incomplete. It outlines two situations: when the model and manufacturer are known, auditors can look up specifications in Eurovent's product certification database dating back to 1995; when plate information is missing, default efficiency values (EER and COP) are suggested based on equipment type and capacity. The database allows auditors to evaluate system performance and advise on potential retrofits or replacements.

SBCCI08

Jose Manuel Martins Ferreira

The document presents a comparative analysis of different fault injection methods using on-chip debug (OCD) infrastructures. It describes experiments conducted using a Freescale MPC-565 microprocessor with enhanced OCD capabilities. The experiments compare basic, extended, and OCD-enhanced fault injection configurations across offline and real-time scenarios. Results show that the OCD-enhanced method enables higher fault detection rates with lower performance overhead compared to other approaches.

GE_Bently_Nevada_3500_42_Manual_20171113133924.pdf

NelioMelendez1

This document provides an overview and instructions for the 3500/42 Proximitor/Seismic Monitor module. Key details include: - The monitor can be configured to perform functions like radial vibration, thrust position, eccentricity, etc. monitoring using transducer inputs. - It provides statuses for monitor health and channel alarms/bypasses to indicate machinery protection thresholds. - Configurable settings like alarm setpoints and software switches are programmed using rack configuration software. - The monitor works with various Bently Nevada transducer types and has internal/external I/O module options for connections. - Maintenance procedures include verification testing, scale factor adjustment, and troubleshooting faults using LEDs and event logs.

Q46-84-Hydrogen-Peroxide-Measurement-System-Manual.pdf

ENVIMART

Aeronautic awareness: Certification

Geert Appeltans

The document discusses the differences between aviation certification standards PART21G and EN9100. PART21G is the European regulation for aviation certification while EN9100 is an international quality management standard for the aerospace industry. The document outlines the requirements and objectives of EASA, the European aviation regulatory body, and describes the production organization approval (POA) process involved in PART21G certification. It also provides information on related standards organizations like IAQG and the roles of notified bodies in certifying organizations.

Pe 3231 week 15 18 plc

Charlton Inao

The document discusses programmable logic controllers (PLCs). It outlines the general objectives of explaining PLC concepts such as structure, programming languages, logic gates, timers, counters, and shift registers. It also discusses PLC programming applications and provides information on PLCs including their definition, advantages, functions, basic control systems, hardware components, software components, programming formats, logic gates, Boolean algebra, timers, counters, and shift registers. Examples of PLC programming problems for machines are also presented.

Monitoring Containers with Weave Scope

Weaveworks

Software Development for Safety Critical Systems

Ákos Horváth

This document discusses software development for safety critical systems. It covers: - Special considerations for safety critical systems where malfunctions can cause injury, including design, verification, validation, certification to standards. - The increasing complexity of avionics software over time with aircraft like the A380 and B787 having hundreds of millions of lines of code. - Key aeronautical certification bodies and standards like the FAA, EASA, ICAO, DO-178B/C, and ARP-4754. - Methodologies used in aeronautical system certification like fault tree analysis, common cause analysis, and design assurance levels (DAL). - How certification aspects apply to both software and hardware and

Similar to 14:05 Galassi - Update EuroCTO Registry (20)

2010科管局企業社會責任報告

FlashPAK-III_Operator_Guide

Manual licor 6200 condensado

1999 Infiniti Q45 Service Repair Manual

Technology forecasting using dea in the presence of infeasibility

Online Detection of Shutdown Periods in Chemical Plants: A Case Study

Test Metrics

AAeon-Aop-8070.pdf

Well test procedures manual

Developing a New Auto-Loading Analytical Prober

Ct omin

Q46F-82-Auto-Chem-Fluoride-Monitor.pdf

Auditac tg 6 how to benefit from eurovent cert database and retrieve past eq...

SBCCI08

GE_Bently_Nevada_3500_42_Manual_20171113133924.pdf

Q46-84-Hydrogen-Peroxide-Measurement-System-Manual.pdf

Aeronautic awareness: Certification

Pe 3231 week 15 18 plc

Monitoring Containers with Weave Scope

Software Development for Safety Critical Systems

More from Euro CTO Club

15th Experts Live CTO - Carlo Di Mario: Conclusions

Euro CTO Club

PLENARY SESSION Wrap up of live cases, awards to the winners of the best abstracts and case competitions and take home messages Auditorium Zubin Mehta - Saturday 16:00 - 17:00 Speakers: Daniela Benedetto (Rome), Francesco Burzotta (Rome), Carlo Di Mario (Florence), Roberto Garbo (Turin), Rocco Stio (Rome) Challengers: Stelios Pyxaras (Furth - D), Sudhir Rathore (London - UK) Discussants: Shunsuke Matsuno (Tokyo - J), Alexander Nap (Amsterdam - NL), Masahisa Yamane (Tokyo - J) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Francesco Burzotta: Wrap up Gemelli Cases

Euro CTO Club

Shunsuke Matsuno: Progress in dedicated novel CTO material

Euro CTO Club

Live Cases from Rome and Florence From San Camillo Hospital, Rome Operators: Gabriele Gasparini (Milan), Roberto Garbo (Turin), Rocco Stio (Rome) From Careggi University Hospital, Florence Operators: Gerald Werner (Darmstadt - D), Jaroslaw Wójcik (Lublin - PL), Carlo Di Mario (Florence) Flash Highlight Progress in dedicated novel CTO material Shunsuke Matsuno (Tokyo - J) ___________________________________________ PLENARY SESSION Live Cases from Rome and Florence + Flash Highlight Auditorium Zubin Mehta - Saturday 11:30 - 13:00 Coordinator: Roberto Garbo (Turin) Chairperson: Alexander Bufe (Krepeld - D) Discussants: Claudia Cosgrove (London - UK), Gorgulu Sevket (Istanbul - TR) Challengers: Pierfrancesco Agostoni (Antwerp - B), John Davies (Basildon - UK) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Jonathan Hill: Role of mechanica support in CTO recanalization

Euro CTO Club

10:42 Role of mechanica support in CTO recanalization Jonathan Hill (London - UK) ___________________________________________ PARALLEL SESSION Challenges And Opportunities In Cto Recanalization Auditorium Zubin Mehta - Saturday 10:00 - 11:10 Chairperson: Jonathan Hill (London - UK) Discussants: Lesnek Bryniarski (Krakow - PL), Ugo Fabrizio (Vercelli), Paul Knaapen (Amsterdam - NL), Eugenio La Scala (Ollioiouls - F) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Gregor Leibundgut: Role of DEB in CTO-PCI

Euro CTO Club

10:35 Role of DEB in CTO-PCI Gregor Leibundgut (Basel - CH) ___________________________________________ PARALLEL SESSION Challenges And Opportunities In Cto Recanalization Auditorium Zubin Mehta - Saturday 10:00 - 11:10 Chairperson: Jonathan Hill (London - UK) Discussants: Lesnek Bryniarski (Krakow - PL), Ugo Fabrizio (Vercelli), Paul Knaapen (Amsterdam - NL), Eugenio La Scala (Ollioiouls - F) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Leszek Bryniarski: Mechanical protection in CTO PCI: the Krakow experience

Euro CTO Club

10:28 Mechanical protection in CTO PCI: the Krakow experience Leszek Bryniarski ___________________________________________ PARALLEL SESSION Challenges And Opportunities In Cto Recanalization Auditorium Zubin Mehta - Saturday 10:00 - 11:10 Chairperson: Jonathan Hill (London - UK) Discussants: Lesnek Bryniarski (Krakow - PL), Ugo Fabrizio (Vercelli), Paul Knaapen (Amsterdam - NL), Eugenio La Scala (Ollioiouls - F) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Sunsuke Matsuno: Intracoronary imaging guidance in CTO practice

Euro CTO Club

15th Experts Live CTO: Mohamed Ayoub: Aorto-ostial CTO

Euro CTO Club

10:07 Aorto-ostial CTO Mohamed Ayoub (Bad Oeynhausen - D) ___________________________________________ PARALLEL SESSION Challenges And Opportunities In Cto Recanalization Auditorium Zubin Mehta - Saturday 10:00 - 11:10 Chairperson: Jonathan Hill (London - UK) Discussants: Lesnek Bryniarski (Krakow - PL), Ugo Fabrizio (Vercelli), Paul Knaapen (Amsterdam - NL), Eugenio La Scala (Ollioiouls - F) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

15th Experts Live CTO - Claudia Cosgrove: Calcium and CTO

Euro CTO Club

10:14 Calcium and CTO Claudia Cosgrove (London - UK) ___________________________________________ PARALLEL SESSION Challenges And Opportunities In Cto Recanalization Auditorium Zubin Mehta - Saturday 10:00 - 11:10 Chairperson: Jonathan Hill (London - UK) Discussants: Lesnek Bryniarski (Krakow - PL), Ugo Fabrizio (Vercelli), Paul Knaapen (Amsterdam - NL), Eugenio La Scala (Ollioiouls - F) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Gregor Leibundgut Update on microcatheter options and selection

Euro CTO Club

Live Cases from Florence and Rome From Tor Vergata Hospital, Rome Operators: Andrea Gagnor (Turin), Mohaned Egred (Newcastle - UK), Daniela Benedetto (Rome) From Careggi University Hospital, Florence Operators: Masahisa Yamane (Tokyo - J), Stelios Pyxaras (Furth - D), Carlo Di Mario (Florence) Flash Highlights 8:30 Update on microcatheter options and selection Gregor Leibundgut (Basel - CH) ___________________________________________ PLENARY SESSION Live Cases from Florence and Rome + Flash Highlights Auditorium Zubin Mehta - Saturday 8:30 - 10:00 Coordinator: Roberto Garbo (Turin) Chairpersons: Heinz Joachim Büttner (Bad Krozingen - D), Roberto Diletti (Rotterdam - NL) Discussants: Michael Behnes (Mannheim - D), Giacomo Boccuzzi (Turin), Alexander Bufe (Krefeld - D), Salvatore Colangelo (Turin) Challengers: Paul Knaapen (Amsterdam - NL), Gioel Gabrio Secco (Alessandria) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Francesco Burzotta: Tips & tricks on radial CTO-PCI

Euro CTO Club

Live Cases from Florence and Rome From Tor Vergata Hospital, Rome Operators: Andrea Gagnor (Turin), Mohaned Egred (Newcastle - UK), Daniela Benedetto (Rome) From Careggi University Hospital, Florence Operators: Masahisa Yamane (Tokyo - J), Stelios Pyxaras (Furth - D), Carlo Di Mario (Florence) Flash Highlights 8:30 Tips & tricks on radial CTO-PCI Francesco Burzotta (Rome) ___________________________________________ PLENARY SESSION Live Cases from Florence and Rome + Flash Highlights Auditorium Zubin Mehta - Saturday 8:30 - 10:00 Coordinator: Roberto Garbo (Turin) Chairpersons: Heinz Joachim Büttner (Bad Krozingen - D), Roberto Diletti (Rotterdam - NL) Discussants: Michael Behnes (Mannheim - D), Giacomo Boccuzzi (Turin), Alexander Bufe (Krefeld - D), Salvatore Colangelo (Turin) Challengers: Paul Knaapen (Amsterdam - NL), Gioel Gabrio Secco (Alessandria) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Kambis Mashayekhi: EuroCTO Consensus on treatment of Calcified CTO lesion Eur...

Euro CTO Club

Emmanouil S. Brilakis - CTO PCI Outcome associated with poor quality of the d...

Euro CTO Club

16:53 CTO PCI Outcome associated with poor quality of the distal target vessel Emmanouil Brilakis (Minneapolis - USA) _____________________________________________ PARALLEL SESSION Interventional CTO & Chip Research Best CTO Publications 2022-23 (selected by the Editors of the Cardiology Interventional journals) Auditorium Zubin Mehta - Friday 16:30 - 17:16 Chairpersons: Davide Capodanno (Catania), Carlo Di Mario (Florence), Giuseppe Tarantini (Padua) Panelist: Roberto Diletti (Rotterdam - NL), Giovanni Esposito (Naples), Paul Knaapen (Amsterdam - NL), Maksymilian Opolski (Warsaw - PL) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Mario Iannaccone - 2 EuroCTO Consensus on Guide Catheter Extensions JACC Card...

Euro CTO Club

16:33 EuroCTO Consensus on Guide Catheter Extensions JACC Cardiovasc Interventions Mario Iannaccone (Turin) _____________________________________________ PARALLEL SESSION Interventional CTO & Chip Research Best CTO Publications 2022-23 (selected by the Editors of the Cardiology Interventional journals) Auditorium Zubin Mehta - Friday 16:30 - 17:16 Chairpersons: Davide Capodanno (Catania), Carlo Di Mario (Florence), Giuseppe Tarantini (Padua) Panelist: Roberto Diletti (Rotterdam - NL), Giovanni Esposito (Naples), Paul Knaapen (Amsterdam - NL), Maksymilian Opolski (Warsaw - PL) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Javier Escaned: 3 Low contrast complex and CTO PCI

Euro CTO Club

Flash Highlights 15:00 3 Low contrast complex and CTO PCI Javier Escaned (Madrid - Spain) ___________________________________________ PARALLEL SESSION Live Cases from Rome + Flash Highlights Auditorium Zubin Mehta - Friday 15:00 - 16:30 Coordinator: Andrea Gagnor (Turin) Chairpersons: Roberto Diletti (Rotterdam - NL), Bernward Lauer (Jena - D) Discussants: Alessio Gaetano La Manna (Catania), Eugenio Stabile (Potenza) Challengers: Paul Knaapen (Amsterdam - NL), Alessio Mattesini (Florence) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Giuseppe Tarantini: Protect IV and PROTECT-Europe trial

Euro CTO Club

11:35 Protect IV and PROTECT-Europe trial Giuseppe Tarantini (Padua) _____________________________________________ PARALLEL SESSION Cto & Chip Regitries & Trials Auditorium Zubin Mehta - Friday 11:00 - 12:00 Chairpersons: Paul Knaapen (Amsterdam - NL), Gennaro Sardella (Rome) Discussants: Björn Billmann (Wolfenbuettel - D), Laurent Drogul (Nice - F), Sergey Furkalo (Kiev - UA), Maciej Lesiak (Poznan - PL) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Paul Knaapen: The PROCTOR randomized trial

Euro CTO Club

11:28 The PROCTOR randomized trial Paul Knaapen (Amsterdam - NL) _____________________________________________ PARALLEL SESSION Cto & Chip Regitries & Trials Auditorium Zubin Mehta - Friday 11:00 - 12:00 Chairpersons: Paul Knaapen (Amsterdam - NL), Gennaro Sardella (Rome) Discussants: Björn Billmann (Wolfenbuettel - D), Laurent Drogul (Nice - F), Sergey Furkalo (Kiev - UA), Maciej Lesiak (Poznan - PL) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

John Davies: Update on the ORBITA - CTO trial

Euro CTO Club

11:21 Update on the ORBITA - CTO trial John Davies (Basildon - UK) _____________________________________________ PARALLEL SESSION Cto & Chip Regitries & Trials Auditorium Zubin Mehta - Friday 11:00 - 12:00 Chairpersons: Paul Knaapen (Amsterdam - NL), Gennaro Sardella (Rome) Discussants: Björn Billmann (Wolfenbuettel - D), Laurent Drogul (Nice - F), Sergey Furkalo (Kiev - UA), Maciej Lesiak (Poznan - PL) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Masahisa Yamane: The Complex CTO Japanese Registry

Euro CTO Club

11:14 The Complex CTO Japanese Registry Masahisa Yamane (Tokyo - J) _____________________________________________ PARALLEL SESSION Cto & Chip Regitries & Trials Auditorium Zubin Mehta - Friday 11:00 - 12:00 Chairpersons: Paul Knaapen (Amsterdam - NL), Gennaro Sardella (Rome) Discussants: Björn Billmann (Wolfenbuettel - D), Laurent Drogul (Nice - F), Sergey Furkalo (Kiev - UA), Maciej Lesiak (Poznan - PL) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

Kambis Mashayekhi: Trends and spin-offs from the EuroCTO Registry

Euro CTO Club

11:00 Trends and spin-offs from the EuroCTO Registry Kambis Mashayekhi (Lahr - D) _____________________________________________ PARALLEL SESSION Cto & Chip Regitries & Trials Auditorium Zubin Mehta - Friday 11:00 - 12:00 Chairpersons: Paul Knaapen (Amsterdam - NL), Gennaro Sardella (Rome) Discussants: Björn Billmann (Wolfenbuettel - D), Laurent Drogul (Nice - F), Sergey Furkalo (Kiev - UA), Maciej Lesiak (Poznan - PL) ___________________________________________ 15th Experts Live CTO, EUROCTO Club meeting in partnership with the GISE CTO meeting. September 8th - 9th, 2023 Florence, Italy

More from Euro CTO Club (20)

15th Experts Live CTO - Carlo Di Mario: Conclusions

Francesco Burzotta: Wrap up Gemelli Cases

Shunsuke Matsuno: Progress in dedicated novel CTO material

Jonathan Hill: Role of mechanica support in CTO recanalization

Gregor Leibundgut: Role of DEB in CTO-PCI

Leszek Bryniarski: Mechanical protection in CTO PCI: the Krakow experience

Sunsuke Matsuno: Intracoronary imaging guidance in CTO practice

15th Experts Live CTO: Mohamed Ayoub: Aorto-ostial CTO

15th Experts Live CTO - Claudia Cosgrove: Calcium and CTO

Gregor Leibundgut Update on microcatheter options and selection

Francesco Burzotta: Tips & tricks on radial CTO-PCI

Kambis Mashayekhi: EuroCTO Consensus on treatment of Calcified CTO lesion Eur...

Emmanouil S. Brilakis - CTO PCI Outcome associated with poor quality of the d...

Mario Iannaccone - 2 EuroCTO Consensus on Guide Catheter Extensions JACC Card...

Javier Escaned: 3 Low contrast complex and CTO PCI

Giuseppe Tarantini: Protect IV and PROTECT-Europe trial

Paul Knaapen: The PROCTOR randomized trial

John Davies: Update on the ORBITA - CTO trial

Masahisa Yamane: The Complex CTO Japanese Registry

Kambis Mashayekhi: Trends and spin-offs from the EuroCTO Registry

Recently uploaded

Top-Vitamin-Supplement-Brands-in-India List

SwisschemDerma

NVBDCP.pptx Nation vector borne disease control program

Sapna Thakur

Chapter 11 Nutrition and Chronic Diseases.pptx

Earlene McNair

Aortic Association CBL Pilot April 19 – 20 Bern

suvadeepdas911

OCT Training Course for clinical practice Part 1

KafrELShiekh University

Novas diretrizes da OMS para os cuidados perinatais de mais qualidade

Prof. Marcus Renato de Carvalho

Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva. Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade. Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal. Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural. Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis. É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais. O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada. Recomendamos muito. Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos. Esta publicação só está disponível em inglês até o momento. Prof. Marcus Renato de Carvalho www.agostodourado.com

CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf

rishi2789

CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf

rishi2789

THERAPEUTIC ANTISENSE MOLECULES .pptx

70KRISHPATEL

Does Over-Masturbation Contribute to Chronic Prostatitis.pptx

walterHu5

Efficacy of Avartana Sneha in Ayurveda

Dr. Jyothirmai Paindla

Role of Mukta Pishti in the Management of Hyperthyroidism

Dr. Jyothirmai Paindla

CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf

rishi2789

Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad

NephroTube - Dr.Gawad

- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0 - Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc - Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html - Link to NephroTube website: www.NephroTube.com - Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html

Top Effective Soaps for Fungal Skin Infections in India

SwisschemDerma

#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...

chandankumarsmartiso

Identification and nursing management of congenital malformations .pptx

MGM SCHOOL/COLLEGE OF NURSING

Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx

Dr. Rabia Inam Gandapore

Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes

PsychoTech Services

Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx

Dr. Rabia Inam Gandapore

Recently uploaded (20)

Top-Vitamin-Supplement-Brands-in-India List

NVBDCP.pptx Nation vector borne disease control program

Chapter 11 Nutrition and Chronic Diseases.pptx

Aortic Association CBL Pilot April 19 – 20 Bern

OCT Training Course for clinical practice Part 1

Novas diretrizes da OMS para os cuidados perinatais de mais qualidade

CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf

CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf

THERAPEUTIC ANTISENSE MOLECULES .pptx

Does Over-Masturbation Contribute to Chronic Prostatitis.pptx

Efficacy of Avartana Sneha in Ayurveda

Role of Mukta Pishti in the Management of Hyperthyroidism

CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf

Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad

Top Effective Soaps for Fungal Skin Infections in India

#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...

Identification and nursing management of congenital malformations .pptx

Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx

Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes

Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx

14:05 Galassi - Update EuroCTO Registry

1. Alfredo R. Galassi and Nicolaus Reifart The Sicilian and the German (sicilian) Update Euro CTO Registry

2. Euro CTO Club Membership 0 10 20 30 40 50 60 2006 2007 2008 2009 2010 2011 2012 2013 13 21 29 33 38 43 52 55

3. 0 500 1000 1500 2000 2500 3000 2008 2009 2010 2011 2012 2013 1303 1724 2189 2634 2603 2660 Online Registry 2008-2013

4. 0 20 40 60 80 100 2006 2007 2008 2009 2010 2011 2012 2013 75 77 80 82 85.3 85 85.3 87 Angiographic Success %

5. 0% 20% 40% 60% 80% 100% 2008 2009 2010 2011 2012 2013 90 88.5 89.5 86 77 71 10 11.5 10.5 14 23 29 Antegrade Retrograde± Antegrade Antegrade /Retrograde Procedures

6. 0% 20% 40% 60% 80% 100% 2008 2009 2010 2011 2012 2013 50 31 28.6 20.5 18.8 14.6 50 69 71.4 79.5 81.2 85.4 Antegrade only Retrograde + Antegrade Antegrade /Retrograde Operators N=48N=48N=44N=35N=29N=24

7. 0 20 40 60 80 100 2008 2009 2010 2011 2012 2013 85.5 86.5 88.1 87.6 87.8 90.3 73.6 64.2 77.1 76.5 77.8 79.5 Antegrade Retrograde Angiographic Success %

8. J-CTO score Morino et al. J Am Coll Cardiol 2011

9. 70 80 90 100 2008 2009 2010 2011 2012 2013 1 2 3 0 Angiographicsuccess(%) J-CTOscore(median) J-CTO score / Success 1.6 1.7 1.6 2 2.3 2.4 80 82 86 85 85. 3 87

10. 0% 20% 40% 60% 80% 100% 2008 2009 2010 2011 2012 2013 50 23 17 11 13 5 33 27 17 25 16 22 17 40 49 34 37 23 10 17 36 31 42 4 8 8 <50 50-100 100-200 200-500 >500 Operators Experience N=48N=48N=44N=35N=29N=24

11. 2008-2012 CTO interventions 8647 patients 9643 lesions Drop out for missing data 47 patients 54 lesions Included 8600 patients 9589 lesions Retrograde (16.5%) 1395 patients 1582 lesions Antegrade (83.5%) 7205 patients 8007 lesions Procedural success (75%) 1060 patients 1191 lesions Procedural failure (25%) 335 patients 391 lesions Clinical follow-up 24.7 ± 15 months 931 patients (66.7%) Retrograde CTO revascularization in Europe

12. Clinical Follow-up 0 10 20 30 40 50 MACCE Death MI Stroke Revasc. 13.6 1.9 3.2 0.6 13 8.7 0.6 2.3 0.9 8.6 23.9 4.3 5.4 0 23.6 Overall Successful Unsuccessful % P<0.001 P=0.001 P=0.014 P=0.120 P<0.001

13. Gender (M) COPD Prior MI Prior PCI LVEF < 35% J-CTO score Failure p<0.001 p<0.001 p=0.005 p=0.018 p=0.221 p=0.074 p=0.001 Predictors of MACCE Occurrence

14. Symptoms (Successful Procedures) 0% 20% 40% 60% 80% 100% CCS pre CCS post NYHA pre NYHA post 27.1 83.5 53.2 78.4 44 15.1 36.7 18.328.9 1.4 9.2 2.3 0 0 0.9 0.9 Class I Class II Class III Class IV P<0.001 P<0.001

15. Credibility check of the online EuroCTO-registry 2008-14 • Logical checks on data ( predefined value ranges) • Logical consistency-tests with respect to other data fields • Automatic warnings when data are missing

16. At random : „ your patient was selected for monitoring“ Automatic export of registry parameters 9 parameters to be checked by reviewer

17. Step 1 CD will automatically be uploaded (Videoloader) Operator It automatically stores all files to prepare

18. Step 2 select EuroCTO Club-owned page

19. Step 3 select the runs to be reviewed

20. Any run can be played at high resolution and be reviewed

21. 4 Cineruns to be uploaded 1. CTO vessel with retrograde/antegrade distal filling; 2. Wire passage 3. If applicable also for retrograde access 4. Final result showing residual lesion and runoff.

22. 1 2 3 4 5/ 6 7

23. 8 9

24. Monitor: • The monitor will evaluate the case in a structured way that finally results in an • a) agreement, • b) agreement with slight differences or • c) relevant disagreement (i.e. no CTO or no TIMI 3 flow)

25. Test: Operator NR Monitor GW

26. Calculated accordance 84 %

27. Summary: ERCTO-Monitoring • Randomly selects 10% of cases • Non biased controll of data entry • Will indentify: errors of data entry, interpretation or coding and errors of intention • Will increase credibility and scientific value ( at no costs except our efforts)

14:05 Galassi - Update EuroCTO Registry

Recommended

Recommended

More Related Content

Viewers also liked

Viewers also liked (20)

Similar to 14:05 Galassi - Update EuroCTO Registry

Similar to 14:05 Galassi - Update EuroCTO Registry (20)

More from Euro CTO Club

More from Euro CTO Club (20)

Recently uploaded

Recently uploaded (20)

14:05 Galassi - Update EuroCTO Registry

Editor's Notes