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All Journal Indonesian Journal of Innovation Science and Knowledge
Rahageng Wida Kusuma
Goeteng Taroenadibrata General Hospital
Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Social Sciences

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Defying Demographic Barriers: High Procedural Success of CTO-PCI in a Real-World Irma Putri Damayanti; Rahageng Wida Kusuma; Muhammad Almanfaluthi; Stefani Widodo; Yusuf Adi Gunawan
Indonesian Journal of Innovation Science and Knowledge Vol. 3 No. 4 (2026): IJISK 2026
Publisher : Fakultas Pendidikan Ilmu Keguruan, Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/ijisk.v3i4.811

Abstract

Chronic Total Occlusion (CTO) historically represented the "final frontier" in percutaneous coronary intervention, frequently resulting in surgical referral due to high failure rates. Procedural success was traditionally hypothesized to be limited by patient-specific demographic factors, such as advanced age and female gender, alongside the urgency of clinical presentation. To address this clinical gap, this study aimed to evaluate the real-world success rates of CTO interventions and determine whether these baseline demographic and clinical factors significantly predict procedural outcomes. A retrospective observational study was conducted using big data analytics on a catheterization logbook from a high-volume center, yielding a cohort of 187 patients who underwent CTO-PCI. Procedural outcomes, age, gender, and clinical status (emergency vs. elective) were evaluated using bivariate analysis and multivariable logistic regression. The findings reveal an exceptionally high overall procedural success rate of 93.0%. Statistical modeling demonstrates that advanced age, female gender, and emergency clinical status do not significantly predict procedural failure. Operator expertise and advanced crossing techniques effectively neutralize the anatomical complexities traditionally associated with adverse demographic profiles. In conclusion, CTO-PCI is highly safe and efficacious across diverse patient demographics; thus, patients must not be denied minimally invasive revascularization based on perceived, yet statistically unproven, demographic limitations.
Co-Authors Irma Putri Damayanti Muhammad Almanfaluthi Stefani Widodo Yusuf Adi Gunawan