Peter Tajti1,2, Iosif Xenogiannis1, Dimitris Karmpaliotis3, Khaldoon Alaswad4, Farouc A Jaffer5, M Nicholas Burke1, Imre Ungi2, Emmanouil S Brilakis6. 1. Minneapolis Heart Institute, Abbott Northwestern Hospital, 920 E 28th Street #300, Minneapolis, MN, 55407, USA. 2. Department of Invasive Cardiology, Second Department of Internal Medicine and Cardiology Center, Univeristy of Szeged, Szeged, Hungary. 3. Columbia University, New York, NY, USA. 4. Henry Ford Hospital, Detroit, MI, USA. 5. Massachussetts General Hospital, Boston, MA, USA. 6. Minneapolis Heart Institute, Abbott Northwestern Hospital, 920 E 28th Street #300, Minneapolis, MN, 55407, USA. esbrilakis@gmail.com.
Abstract
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.
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.
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