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PROMOTED
Start date:
Mar 26, 2024
Added:
3 years ago
Saphenous vein grafts (SVGs), despite their inherent inferiority to arterial conduits, still remain the type of grafts most commonly used during coronary artery bypass grafting (CABG).1 The natural and post-interventional biological behaviour of SVGs differ from that of native coronary vessels, increasing the risk of restenosis.2 SVG disease after CABG is a strong predictor of mortality.3 In a…
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3 years ago
Coronary chronic total occlusions (CTOs) are identified in up to one third of patients with coronary artery disease referred for nonurgent coronary angiography,1,2 with an incidence increasing with age.3 Conceptually, you may argue that the motivation to reopen a totally blocked artery is not as strong as for subocclusive lesions, that have the potential to progress and cause acute events. The…
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3 years ago
A chronic total occlusion (CTO) in a coronary artery is defined as “the presence of TIMI 0 flow within an occluded arterial segment of greater than three months standing.”1 The successful percutaneous revascularisation of CTO vessels represents one of the dominant remaining technical challenges in interventional cardiology.
CTOs are common, found in between 20 %2 and 50 %3 of all patients with…
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3 years ago
Definition and Prevalence
Chronic coronary occlusions (CTOs) are defifined as lesions with Thrombolysis in Myocardial Infarction (TIMI) 0 flow older than three months (either angiographically proven or with high clinical likelihood). 1 According to a recent Canadian registry, CTOs are detected in about 30 % of patients with symptomatic coronary artery diseases (CAD).2 Likewise a very large German…
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3 years ago
Coronary chronic total occlusions (CTOs) remain one of the most challenging percutaneous challenges in interventional cardiology, with technical success rates of only ~50–70 %.1,2 This lesion subset often poses the greatest risk and often requires techniques and equipment not typically utilised for more acute coronary lesions. However, successful percutaneous CTO revascularisation is associated…
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Added:
2 years ago
Added:
3 years ago
Radial vs Femoral Access
In recent years several large registries and randomised controlled trials have demonstrated a mortality benefit for trans-radial over trans-femoral percutaneous coronary intervention (PCI), likely mediated by reduced bleeding complications.1–4 Building on the pioneering Japanese experience, the advent of the hybrid algorithim approach, coupled with innovative new…
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Added:
3 years ago
Section A
Techniques for Chronic Total Occlusions Revascularisation
Access Route, Guiding Catheter Selection and Contralateral Injection
The femoral approach is the preferred access route by most operators. However, the radial approach might be chosen because of severe peripheral vascular disease, operator’s preference or for contralateral injection. The guiding principle of access selection is…
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Added:
2 years ago
