Solving challenging situations and complications in everyday percutaneous coronary intervention using chronic total occlusion techniques

Lorenzo Azzalini, Georgios Tzanis, Kambis Mashayekhi, Barry F. Uretsky, Soledad Ojeda, Manuel Pan, Stephane Rinfret, Alexandre Avran, Khaldoon Alaswad, Masahisa Yamane, Dimitri Karmpaliotis, Emmanouil S. Brilakis, Mauro Carlino, Luiz F. Ybarra

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

The field of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has witnessed a dramatic evolution in the last decade. The challenging nature of CTO interventions involves regularly dealing with support-related issues, uncrossable/undilatable lesions, manipulation of equipment in the subadventitial (also known as “subintimal”) space, and the treatment of complications such as perforation and equipment loss or entrapment. The CTO experience has provided numerous techniques to the creative operator facing challenges in the non-CTO PCI setting. Herewith, we discuss an armamentarium of techniques routinely used in CTO-PCI, which can also be utilized in interventions for non-occlusive coronary artery disease and have the potential to improve the efficacy and safety of these procedures.

Original languageEnglish (US)
Pages (from-to)E63-E72
JournalJournal of Invasive Cardiology
Volume33
Issue number3
StatePublished - 2020
Externally publishedYes

Keywords

  • Chronic total occlusion
  • Complications
  • Occlusion
  • Percutaneous coronary intervention
  • Perforation
  • Rupture

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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