Circulation April 2019 PMID 30813758

Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion.

Seung-Whan Lee, Pil Hyung Lee, Jung-Min Ahn, Duk-Woo Park, Sung-Cheol Yun, Seungbong Han, Heejun Kang, Soo-Jin Kang, Young-Hak Kim, Cheol Whan Lee, Seong-Wook Park, Seung Ho Hur, Seung-Woon Rha, Sung-Ho Her, Si Wan Choi

Mentions

59
Peak: 29 in Mar 2019
across 4 sources since Mar 2019

Extended reach

473,284
potential audience

Total likes

129

Video views

1,145

Mentions per month

Mar 2019 – Mar 2025

Where it's discussed

  • X / Twitter53 posts
  • YouTube2 videos
  • Facebook2 posts
  • News2 articles

AI synopsis

What people are saying

The discussions reveal a balanced perspective, with users noting the high success rate of PCI but emphasizing the trial's limitations like low power and crossover issues, using phrases like 'hard to know what to take away' and 'significant limitations,' which show cautious engagement, while mentions of 'no difference in MACE' reflect consensus on the core findings.

AgreementModerate agreement

Most discussions acknowledge the trial's findings that PCI success rates are high but show no significant difference in major outcomes, indicating general agreement on the results.

InterestHigh interest

The discussion around trial details, such as crossover rates, study limitations, and the clinical relevance of PCI for CTO, suggests high interest among the participants.

EngagementModerate engagement

Participants reference specific aspects of the study, share opinions on its limitations, and discuss implications, indicating a moderate depth of engagement.

ImpactModerate impact

The posts highlight the trial's influence on clinical decision-making and ongoing debates in the cardiology community, reflecting a modest but meaningful impact.

Abstract in brief

  • This randomized trial compared outcomes for patients with chronic total occlusion (CTO) who either received percutaneous coronary intervention (PCI) or did not, focusing on whether PCI improves survival, reduces major heart events, or enhances quality of life.
  • The study found that PCI for CTO was largely successful but carries some risks, and there was no significant difference in major health outcomes or quality of life between patients who received PCI and those who did not over a median follow-up of 4 years.
  • Due to slow patient recruitment, the trial was stopped early, and results suggest that while PCI can be performed with a high success rate, its overall benefit compared to no intervention remains uncertain based on this research.

Top posts

Most liked on X and Bluesky
Robert W. Yeh
@rwyeh · X

At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitations of the trial. Hard to know what to take away from this, unfortunately. https://t.co/h7MQilna8a

Mar 3, 2019 · 47 likes · 24 shares · 18,706 followers View post →
Gonzalo Perez
@gonzaeperez · X

DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%) y poco reclutamiento -90% tasa de éxito en PCI a CTO Vía @CircAHA https://t.co/zpiwh5ytL3 https://t.co/tSoQoop81t

Apr 3, 2019 · 23 likes · 12 shares · 17,281 followers View post →
Circulation
@CircAHA · X

DECISION-CTO trial: RCT Evaluating #PCI for the Treatment of Chronic Total Occlusion (#CTO)

Apr 2, 2019 · 18 likes · 14 shares · 77,644 followers View post →
ali karagoz
@alikaragozmd · X

is it reliable to use noninferiority design for DECISION-CTO, @ihtanboga @ADAlthousePhD @boback @venkmurthy @MaartenvSmeden @CircAHA @SABOURETCardio @drjohnm https://t.co/wlJLdqqLvN https://t.co/U0IxMFvzkV

Mar 3, 2019 · 5 likes · 853 followers View post →
Circulation
@CircAHA · X

#CircOnTheRun Podcast with Prof. Seung-Whan Lee & associate editor, Dr. Manos Brilakis on Medical therapy vs PCI for Chronic Total Occlusion: The DECISION-CTO Trial https://t.co/yztp9k6SSP Featured Paper: https://t.co/CS92a9Q7pm https://t.co/fUzrs2CF5k

Apr 2, 2019 · 4 likes · 1 share · 77,644 followers View post →
David J. Cohen, MD, MSc
@djc795 · X

@davidbartov @jedicath @LAzzaliniMD @AntoniousAttall @ShariqShamimMD @mmamas1973 @GEICC3 @rickytiago @hectortamezmd @MohanedEgred @HadyLichaaMD If you look at the DECISION-CTO trial, about 1/4 of the pts who were enrolled in that trial were exactly that population-- pts who presented with either an MI or unstable angina and were randomized after successful treatment of a non-CTO culprit lesion. https://t.co/WThlsn2w0s

Mar 31, 2022 · 4 likes · 1 share · 19,046 followers View post →

All mentions

David J. Cohen, MD, MSc
@djc795 · X

@jedicath @rallamee @rwyeh @GreggWStone @mbmcentegart @jcspratt @SVRaoMD @colum_owens A lot of the patients enrolled in DECISION CTO were exactly this population. https://t.co/klXRcO88sj

Mar 30, 2024 · 3 likes · 19,046 followers View post →
Linda
@wordfinga · X

RT @djc795: @davidbartov @jedicath @LAzzaliniMD @AntoniousAttall @ShariqShamimMD @mmamas1973 @GEICC3 @rickytiago @hectortamezmd @MohanedEgr…

Apr 5, 2023 · 1 share · 4,581 followers View post →
David J. Cohen, MD, MSc
@djc795 · X

@davidbartov @jedicath @LAzzaliniMD @AntoniousAttall @ShariqShamimMD @mmamas1973 @GEICC3 @rickytiago @hectortamezmd @MohanedEgred @HadyLichaaMD If you look at the DECISION-CTO trial, about 1/4 of the pts who were enrolled in that trial were exactly that population-- pts who presented with either an MI or unstable angina and were randomized after successful treatment of a non-CTO culprit lesion. https://t.co/WThlsn2w0s

Mar 31, 2022 · 4 likes · 1 share · 19,046 followers View post →
Dr Deepak Krishnamurthy
@DrDeepakKrishn1 · X

@evandrofilhobr @ShariqShamimMD @AntoniousAttall @aspergian1 @chipkaminsky @cardioPCImom @LAzzaliniMD @perc_surgeon @BaoGTran @serioustaurean https://t.co/lAg5Rk8KZR a very limited use intervention for non LAD CTO in my opinion and only among those with severe angina.

Nov 18, 2021 · 2 likes · 74,954 followers View post →
Mingduo Zhang
@MingduoZ · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Jan 11, 2020 · 12 shares · 132 followers View post →
Stefania Arciello
@StefaniaArciell · X

Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion | Circulation https://t.co/xEHUh08EY0

May 19, 2019 · 1,940 followers View post →
adel eldin
@AdelEldin · X

Randomized trial evaluating percutaneous coronary intervention for the treatment of chronic total occlusion: The DECISION-CTO trial @MDLinx https://t.co/T4y5WPbGfR

Apr 5, 2019 · 246 followers View post →
Emiliano Rodríguez
@erodcauCCV · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 4, 2019 · 12 shares · 689 followers View post →
SIAC
@SIAC_cardio · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 4, 2019 · 12 shares · 19,116 followers View post →
José Miguel Torres Viera
@torresviera · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 4, 2019 · 12 shares · 6,083 followers View post →
jaime aboal
@jaimeaboal · X

DECISION-CTO trial Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion | Circulation https://t.co/EDMjujspDw

Apr 4, 2019 · 696 followers View post →
Sandra
@sandrapaulinarg · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 4, 2019 · 12 shares · 2,204 followers View post →
Raul Villar
@DrRaulvillar · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 3, 2019 · 12 shares · 411 followers View post →
Luis Montiel Roa
@luismontielroa · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 3, 2019 · 12 shares · 383 followers View post →
Pablo Lamelas
@lamelaspablo · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 3, 2019 · 12 shares · 8,802 followers View post →
Daniel Velarde
@dvelarde85 · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 3, 2019 · 12 shares · 613 followers View post →
Alfonso Valle
@ValleAlfonso · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 3, 2019 · 12 shares · 21,702 followers View post →
Edinson Garcia. MD
@GARCIAEDINSON95 · X

RT @gonzaeperez: DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%)…

Apr 3, 2019 · 12 shares · 6,390 followers View post →
Gonzalo Perez
@gonzaeperez · X

DECISION-CTO -#PCI en #CTO sin diferencias en eventos CV vs no revascularización -Estudio abierto, mucho cross over (19%) y poco reclutamiento -90% tasa de éxito en PCI a CTO Vía @CircAHA https://t.co/zpiwh5ytL3 https://t.co/tSoQoop81t

Apr 3, 2019 · 23 likes · 12 shares · 17,281 followers View post →
Cardio Saúde
@cardio_saude · X

Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion | Circulation https://t.co/Z7aZR71wMG

Apr 2, 2019 · 81 followers View post →
Circulation
@CircAHA · X

#CircOnTheRun Podcast with Prof. Seung-Whan Lee & associate editor, Dr. Manos Brilakis on Medical therapy vs PCI for Chronic Total Occlusion: The DECISION-CTO Trial https://t.co/yztp9k6SSP Featured Paper: https://t.co/CS92a9Q7pm https://t.co/fUzrs2CF5k

Apr 2, 2019 · 4 likes · 1 share · 77,644 followers View post →
Joseph hill
@josephahill · X

RT @CircAHA: DECISION-CTO trial: RCT Evaluating #PCI for the Treatment of Chronic Total Occlusion (#CTO)

Apr 2, 2019 · 14 shares · 2,429 followers View post →
leo uzych
@LeoUzych · X

Randomized Trial Evaluating #Percutaneous #Coronary Intervention for the Treatment of Chronic Total Occlusion | #Circulation https://t.co/eTLIn5L8Es

Apr 2, 2019 · 222 followers View post →
Circulation
@CircAHA · X

DECISION-CTO trial: RCT Evaluating #PCI for the Treatment of Chronic Total Occlusion (#CTO)

Apr 2, 2019 · 18 likes · 14 shares · 77,644 followers View post →
Taku Asano
@ta_brilliantsea · X

Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion: The DECISION-CTO Trial | Circulation https://t.co/pvPr1wKmtS

Mar 8, 2019 · 26 followers View post →
Abril Gutierrez
@SpiceGirlAbril · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 6, 2019 · 24 shares · 314 followers View post →
jabar
@turilrh · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 5, 2019 · 24 shares · 1,460 followers View post →
Marc M. Vorpahl, MD
@MarcVorpahl · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 2,437 followers View post →
Tai Kobayashi
@TaiKobayashiMD · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 724 followers View post →
sajannarayanan
@sajannarayanan · X

Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion: The DECISION-CTO Trial | Circulation https://t.co/0z1u1Kvbuz

Mar 4, 2019 · 1 like · 964 followers View post →
Venk Murthy MD PhD
@venkmurthy · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 22,753 followers View post →
Mahesh Anantha MD
@mahesh_maidsh · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 968 followers View post →
JM Schussler, MD
@Updock · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 2,047 followers View post →
victorkairouz
@victor44819809 · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 209 followers View post →
Abdul Moiz Hafiz
@moiz_hafiz · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 1,222 followers View post →
Rijk Gans
@Gansrob · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 788 followers View post →
Ravinay Bhindi
@Ravinay · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 1,109 followers View post →
Jonathan Watt
@jonnywatt · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 821 followers View post →
Rafail Kotronias
@RafKotronias · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 334 followers View post →
Girish Viswanathan
@girishviswa · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 4, 2019 · 24 shares · 1,039 followers View post →
ZENTRIAL
@oligonucleotide · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 514 followers View post →
Juan Senior
@jsenior64 · X

Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion: The DECISION-CTO Trial https://t.co/O23Gfr0XNk

Mar 3, 2019 · 11,090 followers View post →
Juan Senior
@jsenior64 · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 11,090 followers View post →
Sid M. Patel
@SidPatelMD · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 818 followers View post →
Hector Tamez, MD MPH
@hectortamezmd · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 2,647 followers View post →
Dr. Samip Vasaiwala
@SVasaiwalaMDMSc · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 2,024 followers View post →
Travis Howard
@Triplet_Trav · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 374 followers View post →
Babar Basir
@Babar_Basir · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 14,222 followers View post →
Prashant Kaul
@KaulP · X

RT @rwyeh: At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitat…

Mar 3, 2019 · 24 shares · 5,484 followers View post →
Robert W. Yeh
@rwyeh · X

At long last, the DECISION CTO trial is published. The authors deserve credit for opening acknowledging the significant limitations of the trial. Hard to know what to take away from this, unfortunately. https://t.co/h7MQilna8a

Mar 3, 2019 · 47 likes · 24 shares · 18,706 followers View post →
ali karagoz
@alikaragozmd · X

is it reliable to use noninferiority design for DECISION-CTO, @ihtanboga @ADAlthousePhD @boback @venkmurthy @MaartenvSmeden @CircAHA @SABOURETCardio @drjohnm https://t.co/wlJLdqqLvN https://t.co/U0IxMFvzkV

Mar 3, 2019 · 5 likes · 853 followers View post →
RadialFirstBot
@RadialFirstBot · X

RT @AlesqQuadros: DECISION CTO published almost 2 y after presentation. PCI feasible with high success rates, no difference in MACE, but st…

Mar 3, 2019 · 1 share · 2,629 followers View post →
Alexandre Quadros
@AlesqQuadros · X

DECISION CTO published almost 2 y after presentation. PCI feasible with high success rates, no difference in MACE, but study imited by low power for clinical endpoints and high crossover.#CTO #CardioTwitter #RadialFirst https://t.co/mWD48owF74

Mar 3, 2019 · 4 likes · 1 share · 681 followers View post →