Update in the Percutaneous Management of Coronary Chronic Total Occlusions

Peter Tajti; M. Nicholas Burke; Dimitri Karmpaliotis; Khaldoon Alaswad; Gerald S. Werner; Lorenzo Azzalini; Mauro Carlino; Mitul Patel; Kambis Mashayekhi; Mohaned Egred; Oleg Krestyaninov; Dmitrii Khelimskii; William J. Nicholson; Imre Ungi; Alfredo R. Galassi; Subhash Banerjee; Emmanouil S. Brilakis

doi:10.1016/j.jcin.2017.10.052

Update in the Percutaneous Management of Coronary Chronic Total Occlusions

Peter Tajti, M. Nicholas Burke, Dimitri Karmpaliotis, Khaldoon Alaswad, Gerald S. Werner, Lorenzo Azzalini, Mauro Carlino, Mitul Patel, Kambis Mashayekhi, Mohaned Egred, Oleg Krestyaninov, Dmitrii Khelimskii, William J. Nicholson, Imre Ungi, Alfredo R. Galassi, Subhash Banerjee, Emmanouil S. Brilakis

Research output: Contribution to journal › Review article › peer-review

88 Scopus citations

Abstract

Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been rapidly evolving during recent years. With improvement in equipment and techniques, high success rates can be achieved at experienced centers, although overall success rates remain low. Prospective, randomized-controlled data regarding optimal use and indications for CTO PCI remain limited. CTO PCI should be performed when the anticipated benefit exceeds the potential risk. New high-quality studies of the clinical outcomes and techniques of CTO PCI are needed, as is the expansion of expert centers and operators that can achieve excellent clinical outcomes in this challenging patient and lesion subgroup. In the current review the authors summarize the latest publications in CTO PCI and provide an overview of the current state of the field.

Original language	English (US)
Pages (from-to)	615-625
Number of pages	11
Journal	JACC: Cardiovascular Interventions
Volume	11
Issue number	7
DOIs	https://doi.org/10.1016/j.jcin.2017.10.052
State	Published - Apr 9 2018

Keywords

chronic total occlusion
percutaneous coronary intervention
stable coronary artery disease

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jcin.2017.10.052

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Tajti, P., Burke, M. N., Karmpaliotis, D., Alaswad, K., Werner, G. S., Azzalini, L., Carlino, M., Patel, M., Mashayekhi, K., Egred, M., Krestyaninov, O., Khelimskii, D., Nicholson, W. J., Ungi, I., Galassi, A. R., Banerjee, S., & Brilakis, E. S. (2018). Update in the Percutaneous Management of Coronary Chronic Total Occlusions. JACC: Cardiovascular Interventions, 11(7), 615-625. https://doi.org/10.1016/j.jcin.2017.10.052

Tajti, P, Burke, MN, Karmpaliotis, D, Alaswad, K, Werner, GS, Azzalini, L, Carlino, M, Patel, M, Mashayekhi, K, Egred, M, Krestyaninov, O, Khelimskii, D, Nicholson, WJ, Ungi, I, Galassi, AR, Banerjee, S & Brilakis, ES 2018, 'Update in the Percutaneous Management of Coronary Chronic Total Occlusions', JACC: Cardiovascular Interventions, vol. 11, no. 7, pp. 615-625. https://doi.org/10.1016/j.jcin.2017.10.052

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abstract = "Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been rapidly evolving during recent years. With improvement in equipment and techniques, high success rates can be achieved at experienced centers, although overall success rates remain low. Prospective, randomized-controlled data regarding optimal use and indications for CTO PCI remain limited. CTO PCI should be performed when the anticipated benefit exceeds the potential risk. New high-quality studies of the clinical outcomes and techniques of CTO PCI are needed, as is the expansion of expert centers and operators that can achieve excellent clinical outcomes in this challenging patient and lesion subgroup. In the current review the authors summarize the latest publications in CTO PCI and provide an overview of the current state of the field.",

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author = "Peter Tajti and Burke, {M. Nicholas} and Dimitri Karmpaliotis and Khaldoon Alaswad and Werner, {Gerald S.} and Lorenzo Azzalini and Mauro Carlino and Mitul Patel and Kambis Mashayekhi and Mohaned Egred and Oleg Krestyaninov and Dmitrii Khelimskii and Nicholson, {William J.} and Imre Ungi and Galassi, {Alfredo R.} and Subhash Banerjee and Brilakis, {Emmanouil S.}",

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AU - Azzalini, Lorenzo

AU - Carlino, Mauro

AU - Patel, Mitul

AU - Mashayekhi, Kambis

AU - Egred, Mohaned

AU - Krestyaninov, Oleg

AU - Khelimskii, Dmitrii

AU - Nicholson, William J.

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AU - Banerjee, Subhash

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AB - Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been rapidly evolving during recent years. With improvement in equipment and techniques, high success rates can be achieved at experienced centers, although overall success rates remain low. Prospective, randomized-controlled data regarding optimal use and indications for CTO PCI remain limited. CTO PCI should be performed when the anticipated benefit exceeds the potential risk. New high-quality studies of the clinical outcomes and techniques of CTO PCI are needed, as is the expansion of expert centers and operators that can achieve excellent clinical outcomes in this challenging patient and lesion subgroup. In the current review the authors summarize the latest publications in CTO PCI and provide an overview of the current state of the field.

KW - chronic total occlusion

KW - percutaneous coronary intervention

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Update in the Percutaneous Management of Coronary Chronic Total Occlusions

Abstract

Keywords

ASJC Scopus subject areas

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