{"title":"In-stent versus de novo chronic total occlusion PCI: Similar acute success but distinct procedural and treatment patterns.","authors":"Semi Ozturk, Ahmet Seyfeddin Gurbuz, Sefa Sural, Vedat Aslan, Busra Ozyesil, Sevket Gorgulu","doi":"10.33963/v.phj.113845","DOIUrl":"https://doi.org/10.33963/v.phj.113845","url":null,"abstract":"<p><strong>Background: </strong>Whether in-stent chronic total occlusion (ISR-CTO) reflects lower CTO percutaneous coronary intervention (PCI) efficacy or a distinct procedural profile remains uncertain.</p><p><strong>Aims: </strong>To compare acute outcomes, strategy, and treatment pattern between ISR-CTO and de novo CTO.</p><p><strong>Methods: </strong>We performed a retrospective procedure-level analysis of a prospectively maintained three-center CTO PCI registry from Türkiye, including consecutive procedures between January 2019 and February 2026. The primary endpoint was procedural success, defined as technical success without in-hospital major procedural complications. Technical success was final TIMI 3 flow with residual stenosis < 30%. Major procedural complications included death, stroke, emergency repeat PCI or coronary artery bypass grafting (CABG), donor-vessel complication, and coronary or collateral perforation requiring active treatment. Multivariable logistic regression and prespecified sensitivity analyses were performed.</p><p><strong>Results: </strong>Among 2375 CTO PCI procedures, 296 (12.5%) involved ISR-CTO. Technical success was 92.9% in ISR-CTO and 91.7% in de novo CTO (P = 0.49). Procedural success was 90.2% and 89.0% (P = 0.55), and major procedural complications were similar (3.4% vs. 3.9%, P = 0.66). After adjustment, ISR-CTO was not associated with lower technical success (OR, 1.26; 95% CI, 0.77-2.05), lower procedural success (OR, 1.20; 95% CI, 0.79-1.83), or higher complication risk (OR, 0.84; 95% CI, 0.43-1.66). ISR-CTO was associated with less actual retrograde involvement, greater IVUS/DCB use, and a lower observed DES implantation rate.</p><p><strong>Conclusions: </strong>ISR-CTO showed acute procedural results comparable to de novo CTO in this selected multicenter cohort. Its main differences were procedural and treatment-related, including less actual retrograde involvement and different IVUS/DCB/DES use.</p>","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ewa Straburzyńska-Migaj, Agnieszka Pawlak, Agata Bielecka-Dąbrowa, Agnieszka Kapłon-Cieślicka, Jarosław D Kasprzak, Jadwiga Nessler, Paweł Rubiś, Anna Tomaszuk-Kazberuk, Małgorzata Lelonek
{"title":"Heart failure with improved ejection fraction: From diagnosis to management. Are phenotypes such as improvement, remission, and recovery possible? Expert opinion of the Heart Failure Association.","authors":"Ewa Straburzyńska-Migaj, Agnieszka Pawlak, Agata Bielecka-Dąbrowa, Agnieszka Kapłon-Cieślicka, Jarosław D Kasprzak, Jadwiga Nessler, Paweł Rubiś, Anna Tomaszuk-Kazberuk, Małgorzata Lelonek","doi":"10.33963/v.phj.113975","DOIUrl":"https://doi.org/10.33963/v.phj.113975","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marzena Romanowska-Kocejko, Karolina Dorniak, Anna Masiak, Marcin Hellmann
{"title":"Multifocal cardiac infiltration with predominant mitral valve involvement in granulomatosis with polyangiitis.","authors":"Marzena Romanowska-Kocejko, Karolina Dorniak, Anna Masiak, Marcin Hellmann","doi":"10.33963/v.phj.114156","DOIUrl":"https://doi.org/10.33963/v.phj.114156","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamil Kosmulski, Eugeniusz Hrycek, Przemysław Nowakowski, Piotr Buszman, Krzysztof Milewski, Adam Janas, Aleksandra Wesołowska, Aleksander Żurakowski
{"title":"Periprocedural temporary discontinuation of dual antiplatelet therapy to single antiplatelet therapy in patients undergoing time-sensitive vascular surgery after second-generation drug-eluting stent implantation.","authors":"Kamil Kosmulski, Eugeniusz Hrycek, Przemysław Nowakowski, Piotr Buszman, Krzysztof Milewski, Adam Janas, Aleksandra Wesołowska, Aleksander Żurakowski","doi":"10.33963/v.phj.114120","DOIUrl":"https://doi.org/10.33963/v.phj.114120","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jan Henzel, Piotr Trochimiuk, Edyta Kaczmarska-Dyrda, Piotr N Rudziński, Zofia Dzielińska, Paweł Olejnik, Mariusz Kruk, Ilona Michałowska, Cezary Kępka, Marcin Demkow
{"title":"Inflammation on the move: A rare cause of partial coronary stent displacement.","authors":"Jan Henzel, Piotr Trochimiuk, Edyta Kaczmarska-Dyrda, Piotr N Rudziński, Zofia Dzielińska, Paweł Olejnik, Mariusz Kruk, Ilona Michałowska, Cezary Kępka, Marcin Demkow","doi":"10.33963/v.phj.114167","DOIUrl":"https://doi.org/10.33963/v.phj.114167","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zuzanna Strząska-Kliś, Monika Budnik, Małgorzata Sobieszczańska-Małek, Inna Zaboyska, Paweł Pihowicz, Maciej Kuśmierczyk, Jakub Kościołek, Katarzyna Kodziszewska, Krzysztof Komuda, Izabela Krysińska, Justyna Sejboth, Andrzej Ostrowski, Maciej Michałowski, Tadeusz Bering, Dorota Komorowska, Beata Broy-Jasik, Grażyna Popko, Daniel Karaszewski, Radosław Wilimski, Katarzyna Błońska, Mariusz Kuśmierczyk
{"title":"Application of multi-level mechanical circulatory support in cardiogenic shock due to the drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome.","authors":"Zuzanna Strząska-Kliś, Monika Budnik, Małgorzata Sobieszczańska-Małek, Inna Zaboyska, Paweł Pihowicz, Maciej Kuśmierczyk, Jakub Kościołek, Katarzyna Kodziszewska, Krzysztof Komuda, Izabela Krysińska, Justyna Sejboth, Andrzej Ostrowski, Maciej Michałowski, Tadeusz Bering, Dorota Komorowska, Beata Broy-Jasik, Grażyna Popko, Daniel Karaszewski, Radosław Wilimski, Katarzyna Błońska, Mariusz Kuśmierczyk","doi":"10.33963/v.phj.114174","DOIUrl":"https://doi.org/10.33963/v.phj.114174","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jerzy Sacha, Jarosław Bugajski, Katarzyna Błaszczyk, Wiktor Kuliczkowski, Barbara Barteczko-Grajek, Piotr Kunicki, Katarzyna Kamińska-Alghussein, Krzysztof Krawczyk, Maciej Bochenek, Roman Przybylski, Marek Gierlotka
{"title":"Impella 5.5 as a functional test to identify patients for LVAD therapy despite severe right ventricular dysfunction.","authors":"Jerzy Sacha, Jarosław Bugajski, Katarzyna Błaszczyk, Wiktor Kuliczkowski, Barbara Barteczko-Grajek, Piotr Kunicki, Katarzyna Kamińska-Alghussein, Krzysztof Krawczyk, Maciej Bochenek, Roman Przybylski, Marek Gierlotka","doi":"10.33963/v.phj.114117","DOIUrl":"https://doi.org/10.33963/v.phj.114117","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marek Klocek, Oskar Marcinkowski, Jakub Mrzyk, Marek Rajzer
{"title":"Isolated tuberculous pericarditis without evidence of pulmonary tuberculosis - a demanding disease not only because is very rare.","authors":"Marek Klocek, Oskar Marcinkowski, Jakub Mrzyk, Marek Rajzer","doi":"10.33963/v.phj.114116","DOIUrl":"https://doi.org/10.33963/v.phj.114116","url":null,"abstract":"","PeriodicalId":17784,"journal":{"name":"Kardiologia polska","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}