TY - JOUR
T1 - Chronic Total Occlusion Interventions
T2 - Update on Current Tips and Tricks
AU - Tajti, Peter
AU - Xenogiannis, Iosif
AU - Karmpaliotis, Dimitris
AU - Alaswad, Khaldoon
AU - Jaffer, Farouc A.
AU - Nicholas Burke, M.
AU - Ungi, Imre
AU - Brilakis, Emmanouil S
N1 - Funding Information:
Emmanouil S. Brilakis declares consulting/speaker honoraria from Abbott Vascular, ACIST, Amgen, Asahi, CSI, Elsevier, GE Healthcare, Medicure, and Nitiloop; research support from Boston Scientific and Osprey. Board of Directors: Cardiovascular Innovations Foundation. Board of Trustees: Society of Cardiovascular Angiography and Interventions. American Heart Association (associate editor Circulation). MHI Ventures, shareholder.
Funding Information:
Farouc A. Jaffer reports the following: Consultant: Abbott Vascular, Boston Scientific, Siemens and Philips. Research grant: Canon, Siemens, and National Institutes of Health.
Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Purpose of Review: To summarize novel techniques and developments in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Recent Findings: Using an algorithmic, step-by-step approach can help overcome several complex CTO lesions subsets, such as proximal cap ambiguity, ostial location, in-stent occlusion, bifurcations, balloon uncrossable and undilatable lesions. Similarly, an algorithmic approach can help prevent and optimally treat CTO PCI-related complication, such as perforation, radiation, and contrast-induced nephropathy. Summary: Continual update and reassessment of each operator’s algorithm for performing CTO PCI can lead to improved outcomes.
AB - Purpose of Review: To summarize novel techniques and developments in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Recent Findings: Using an algorithmic, step-by-step approach can help overcome several complex CTO lesions subsets, such as proximal cap ambiguity, ostial location, in-stent occlusion, bifurcations, balloon uncrossable and undilatable lesions. Similarly, an algorithmic approach can help prevent and optimally treat CTO PCI-related complication, such as perforation, radiation, and contrast-induced nephropathy. Summary: Continual update and reassessment of each operator’s algorithm for performing CTO PCI can lead to improved outcomes.
KW - Chronic total occlusion
KW - Complex coronary interventions
KW - Percutaneous coronary intervention
KW - Techniques
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U2 - 10.1007/s11886-018-1083-7
DO - 10.1007/s11886-018-1083-7
M3 - Review article
C2 - 30350111
AN - SCOPUS:85055156938
VL - 20
JO - Current Cardiology Reports
JF - Current Cardiology Reports
SN - 1523-3782
IS - 12
M1 - 141
ER -