Chronic Total Occlusion Interventions: Update on Current Tips and Tricks

Document Type

Article

Publication Date

10-22-2018

Publication Title

Current cardiology reports

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. Continual update and reassessment of each operator's algorithm for performing CTO PCI can lead to improved outcomes.

PubMed ID

30350111

Volume

20

Issue

12

First Page

141

Last Page

141

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