Solving Challenging Situations and Complications in Everyday Percutaneous Coronary Intervention Using Chronic Total Occlusion Techniques
Recommended Citation
Azzalini L, Tzanis G, Mashayekhi K, Uretsky BF, Ojeda S, Pan M, Rinfret S, Avran A, Alaswad K, Yamane M, Karmpaliotis D, Brilakis ES, Carlino M, and Ybarra LF. Solving Challenging Situations and Complications in Everyday Percutaneous Coronary Intervention Using Chronic Total Occlusion Techniques. J Invasive Cardiol 2020; 32(3):E63-e72.
Document Type
Article
Publication Date
3-1-2020
Publication Title
The Journal of invasive cardiology
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.
PubMed ID
32123144
Volume
32
Issue
3
First Page
63
Last Page
63
