Chronic Total Occlusion Interventions: Update on Current Tips and Tricks

Peter Tajti, Iosif Xenogiannis, Dimitris Karmpaliotis, Khaldoon Alaswad, Farouc A. Jaffer, M. Nicholas Burke, Imre Ungi, Emmanouil S Brilakis

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Article number141
JournalCurrent Cardiology Reports
Volume20
Issue number12
DOIs
StatePublished - Dec 1 2018

Keywords

  • Chronic total occlusion
  • Complex coronary interventions
  • Percutaneous coronary intervention
  • Techniques

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Tajti, P., Xenogiannis, I., Karmpaliotis, D., Alaswad, K., Jaffer, F. A., Nicholas Burke, M., Ungi, I., & Brilakis, E. S. (2018). Chronic Total Occlusion Interventions: Update on Current Tips and Tricks. Current Cardiology Reports, 20(12), [141]. https://doi.org/10.1007/s11886-018-1083-7