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Antegrade Chronic Total Occlusion Strategies: A Technical Focus for 2020
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… View more

Prevention & Chronic Conditions
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… View more

MI/ACS

Intervention
New approaches to CTO
Author(s): Roberto Diletti Start date: Mar 03, 2017

Intervention
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… View more

MI/ACS

Intervention
The Impact of Calcium on Chronic Total Occlusion Management
Author(s): Claudia Cosgrove , Kalaivani Mahadevan , James Spratt , et al Added: 2 years ago

Imaging & Diagnostics

Intervention
Author(s): Nicolaus Reifart Added: 3 years ago
Definition and Prevalence Nowadays it is widely accepted to define chronic total occlusions (CTOs) of the coronary artery as lesions with thrombolysis in myocardial infarction 0 flow for more than three months (either angiographically proven or with high clinical likelihood).1 Occlusions of less than four weeks following an acute infarction are defined as acute or subacute and occlusions of… View more

Prevention & Chronic Conditions
Post-CABG Management of Occlusive CAD
Author(s): Mohammed Shamim Rahman , Ruben de Winter , Alex Nap , et al Added: 2 years ago

Imaging & Diagnostics

Intervention
Author(s): John Rawlins , James Wilkinson , Nick Curzen Added: 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… View more

MI/ACS

Intervention
Factors Influencing Stent Failure in CTO PCI
Author(s): Kalaivani Mahadevan , Claudia Cosgrove , Julian Strange Added: 2 years ago

Prevention & Chronic Conditions
Contemporary Techniques for Coronary Chronic Total Occlusions Revascularisation: Sharing Experience in a Global World
Author(s): Heinz Joachim Büttner , Masahisa Yamane , Nicolaus Reifart , et al Added: 3 years ago
Introduction and Objectives A symposium, chaired by Dr Heinz Joachim Büttner of Freiburg-Bad Krozingen (Germany) and Dr Masahisa Yamane of St Luke’s International Hospital (Tokyo, Japan) took place at EuroPCR, Paris on May 23rd, 2014. Its objectives were as follows: to learn how to improve the success of percutaneous intervention (PCI) in chronic total occlusion (CTO) by matching techniques to… View more

MI/ACS

Intervention