Chronic Total Occlusion Interventions: Update on Current Tips and Tricks.
Tajti P, Xenogiannis I, Karmpaliotis D, Alaswad K, Jaffer FA, Nicholas Burke M, Ungi I, Brilakis ES. Chronic total occlusion interventions: Update on current tips and tricks. Curr Cardiol Rep. 2018;20(12):141.
Current cardiology reports
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.