{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:11:12Z","timestamp":1740103872331,"version":"3.37.3"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Lesion length is related to worse clinical outcomes following percutaneous coronary intervention (PCI) for the treatment of chronic total occlusion (CTO). However, the data to confirm the association between extremely long lesions and clinical hard endpoints have been limited. Therefore, we investigated the impact of extremely long CTO lesions (\u226550\u2009mm, treated lesion length) on the long\u2010term clinical outcomes following successful PCI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 333 consecutive patients with CTO who underwent successful PCI with drug\u2010eluting stents (DESs) were allocated to either the extremely long or the short CTO group according to their CTO lesion length. The 5\u2010year clinical outcomes were compared between the two groups. The incidence of myocardial infarction,\u00a0cardiac death (CD), revascularization, and major adverse cardiovascular events (MACE) was higher in the extremely long CTO group. The 5\u2010year clinical outcomes were analyzed using the Cox hazard ratio (HR) model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the entire study population, the extremely long CTO lesion was an independent predictor for higher rate of revascularization, MACE, CD, or mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our study, CTO patients with extremely long lesions (\u226550\u2009mm) who underwent successful PCI were associated with a higher risk of worse long\u2010term clinical outcomes, including hard clinical endpoints such as CD and mortality even in the DESs era.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30829","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T13:00:31Z","timestamp":1694178031000},"page":"878-884","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010term clinical outcomes following successful percutaneous coronary intervention in patients with extremely long coronary chronic total occlusion lesions"],"prefix":"10.1002","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1858-1803","authenticated-orcid":false,"given":"Jihun","family":"Ahn","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Daejeon Eulji Medical Center Eulji University School of Medicine Daejeon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HyeYon","family":"Yu","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine Soonchunhyang University Asan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6777-3508","authenticated-orcid":false,"given":"Seung\u2010Woon","family":"Rha","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Korea University Guro Hospital Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byoung Geol","family":"Choi","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Korea University Guro Hospital Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soohyung","family":"Park","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Korea University Guro Hospital Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Jin","family":"Park","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Korea University Guro Hospital Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5187-8310","authenticated-orcid":false,"given":"Dong Oh","family":"Kang","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Korea University Guro Hospital Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheol 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