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PROMOTED
Author(s):
Nicolas M Van Mieghem
,
Kendra J Grubb
,
David Hildick-Smith
,
et al
Start date:
Mar 26, 2024
Author(s):
Calum Creaney
,
Simon J Walsh
Added:
3 years ago
There has been rapid development in the techniques used for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) over the past decade, with success rates in experienced centres now exceeding 90%.1 This is in part due to advances in devices and techniques for CTO crossing, but also an improved understanding of strategy. The development of the ‘hybrid algorithm’ has improved…
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Author(s):
Mohammed Shamim Rahman
,
Ruben de Winter
,
Alex Nap
,
et al
Added:
2 years ago
Author(s):
Colm Hanratty
,
Simon J Walsh
Added:
3 years ago
Chronic total occlusions (CTO) are a common finding at angiography in patients with coronary artery disease (CAD); they are present in ~20% of cases at angiography (excluding those with acute MI or prior coronary artery bypass graft (CABG).1 Data from the same Canadian registry showed that only 10% of CTO patients had had a percutaneous coronary intervention (PCI) attempted to treat CTO, with…
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Author(s):
Kalaivani Mahadevan
,
Claudia Cosgrove
,
Julian Strange
Added:
2 years ago
Author(s):
Alfredo Galassi
,
Aaron Grantham
,
David Kandzari
,
et al
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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Author(s):
Vijay S Ramanath
,
Craig Thompson
Added:
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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Author(s):
Jan Balzer
,
Tobias Zeus
,
Verena Veulemans
,
et al
Added:
3 years ago
Percutaneous catheter-based structural heart disease procedures are a rapidly growing area of interventional cardiology, and represent a valuable option for cardiac patients with comorbidities who are ineligible for conventional surgery as well as demonstrating excellent outcomes.1,2 Catheter-based interventions include transcatheter aortic valve implantation (TAVI),3 percutaneous mitral valve …
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Author(s):
Peter O’Kane
Added:
1 year ago
Can Interventional Cardiologists Help Deliver the UK Mechanical Thrombectomy Interventional Programme for Patients with Acute Ischaemic Stroke?
ICR3 Editor-in-Chief, Dr Peter O'Kane, explains the importance of the newly-published discussion paper from the British Cardiovascular Interventional Society.
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Author(s):
Barry Hennigan
,
Keith Robertson
,
Colin Berry
,
et al
Added:
3 years ago
The original studies of coronary balloon angioplasty performed by Andreas Gruentzig attempted to employ physiological guidance by measuring trans-stenotic gradients with over-the-wire angioplasty catheters.1 However, these catheters were of such large calibre that they contributed to the stenosis being assessed and in addition, measurements were made at rest as the importance of assessing…
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