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

doi:10.1007/s11886-018-1083-7

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 journal › Review article › peer-review

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 language	English (US)
Article number	141
Journal	Current Cardiology Reports
Volume	20
Issue number	12
DOIs	https://doi.org/10.1007/s11886-018-1083-7
State	Published - 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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10.1007/s11886-018-1083-7

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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{\textquoteright}s algorithm for performing CTO PCI can lead to improved outcomes.",

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AU - Jaffer, Farouc A.

AU - Nicholas Burke, M.

AU - Ungi, Imre

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