Utility of Intravascular Ultrasound in Percutaneous Revascularization of Chronic Total Occlusions: An Overview.
Alfredo R. Galassi,Satoru Sumitsuji,Marouane Boukhris,Marouane Boukhris,Emmanouil S. Brilakis,Carlo Di Mario,Roberto Garbo,James C. Spratt,Evald Høj Christiansen,Andrea Gagnor,Alexandre Avran,Georgios Sianos,Gerald S. Werner +12 more
Reads0
Chats0
TLDR
The usefulness and the applications of intravascular ultrasound imaging in percutaneous CTO recanalization, underlying its impact on clinical outcome are focused on.Abstract:
Intravascular ultrasound has been used for >20 years to guide percutaneous coronary intervention in different subsets of coronary lesions. During the last decade, the interest in percutaneous coronary intervention for chronic total occlusion (CTO) has increased dramatically, leading to high success rates. Failure of guidewire crossing is the most common reason for failed CTO attempts. Certain angiographic features, such as blunt proximal CTO cap, tortuosity, heavy calcification, and lack of visibility of path in the distal vessel, increase procedural difficulty. A better understanding of the behavior of the guidewire within the CTO segment may represent a key issue to achieve successful outcome. In this respect, intravascular ultrasound imaging might have potential roles in the recanalization of CTOs. In this paper, we focused on the usefulness and the applications of intravascular ultrasound imaging in percutaneous CTO recanalization, underlying its impact on clinical outcome.read more
Citations
More filters
Journal ArticleDOI
Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention: A Global Expert Consensus Document
Emmanouil S. Brilakis,Kambis Mashayekhi,Etsuo Tsuchikane,Nidal Abi Rafeh,Khaldoon Alaswad,Mario Araya,Alexandre Avran,Lorenzo Azzalini,Avtandil M. Babunashvili,Baktash Bayani,Ravinay Bhindi,Nicolas Boudou,Marouane Boukhris,Nenad Božinović,Leszek Bryniarski,Alexander Bufe,Christopher E. Buller,M. Nicholas Burke,Heinz Joachim Büttner,Pedro Cardoso,Mauro Carlino,Evald Høj Christiansen,Antonio Colombo,Kevin Croce,Félix Damas de los Santos,Tony De Martini,Joseph Dens,Carlo Di Mario,Kefei Dou,Mohaned Egred,Ahmed ElGuindy,Javier Escaned,Sergey Furkalo,Andrea Gagnor,Alfredo R. Galassi,Roberto Garbo,Junbo Ge,Pravin K. Goel,Omer Goktekin,Luca Grancini,J. Aaron Grantham,Colm G. Hanratty,Stefan Harb,Scott A. Harding,José P.S. Henriques,Jonathan Hill,Farouc A. Jaffer,Yangsoo Jang,Risto Jussila,Artis Kalnins,Arun Kalyanasundaram,David E. Kandzari,Hsien Li Kao,Dimitri Karmpaliotis,Hussien Heshmat Kassem,Paul Knaapen,Ran Kornowski,Oleg Krestyaninov,A. V.Ganesh Kumar,Peep Laanmets,Pablo Lamelas,Seung-Whan Lee,Thierry Lefèvre,Yue Li,Soo Teik Lim,Sidney Lo,William Lombardi,Margaret McEntegart,Muhammad Munawar,José A. Navarro Lecaro,Hung M. Ngo,William J. Nicholson,Göran K. Olivecrona,Lucio Padilla,Marin Postu,Alexandre Schaan de Quadros,Franklin Hanna Quesada,Vithala Surya Prakasa Rao,Nicolaus Reifart,Meruzhan Saghatelyan,Ricardo Santiago,George Sianos,Elliot J. Smith,James C. Spratt,Gregg W. Stone,Julian Strange,Khalid Tammam,Imre Ungi,Minh Vo,Vu Hoang Vu,Simon J Walsh,Gerald S. Werner,Jason R Wollmuth,Eugene B. Wu,R. Michael Wyman,Bo Xu,Masahisa Yamane,Luiz F. Ybarra,Robert W. Yeh,Qi Zhang,Stéphane Rinfret +100 more
TL;DR: In this paper, the authors identified seven common principles that are widely accepted as best practices for chronic total occlusion percutaneous coronary intervention (PCI) in CTO-PCI.
Journal ArticleDOI
Optical frequency domain imaging vs. intravascular ultrasound in percutaneous coronary intervention (OPINION trial): one-year angiographic and clinical results.
Takashi Kubo,Toshiro Shinke,Takayuki Okamura,Kiyoshi Hibi,Gaku Nakazawa,Yoshihiro Morino,Junya Shite,Tetsuya Fusazaki,Hiromasa Otake,Ken Kozuma,Tetsuya Ioji,Hideaki Kaneda,Takeshi Serikawa,Toru Kataoka,Hisayuki Okada,Takashi Akasaka,Opinion Investigators +16 more
TL;DR: Both OFDI-guided and IVUS-guided PCI yielded excellent angiographic and clinical results, with very low rates of 8-monthAngiographic binary restenosis and 12-month target vessel failure.
Journal ArticleDOI
Percutaneous recanalisation of chronic total occlusions: 2019 consensus document from the EuroCTO Club
Alfredo R. Galassi,Gerald S. Werner,Marouane Boukhris,Lorenzo Azzalini,Kambis Mashayekhi,Mauro Carlino,Alexandre Avran,Nikolaos V. Konstantinidis,Luca Grancini,Leszek Bryniarski,Roberto Garbo,Nenad Bozinovic,Anthony H. Gershlick,Sudhir Rathore,Carlo Di Mario,Yves Louvard,Nicolaus Reifart,Georgios Sianos +17 more
TL;DR: There is a need for an updated document that includes data from recent clinical trials and registries, information on novel devices and techniques, and an up-to-date revision on the training requirements to approach CTO PCI.
Journal ArticleDOI
Intravascular imaging in coronary artery disease
Gary S. Mintz,Giulio Guagliumi +1 more
TL;DR: Intravascular imaging-intravascular ultrasound and more recently optical coherence tomography-provide a tomographical or cross-sectional image of the coronary arteries to answer questions such as whether the stenosis is clinically relevant; the identification of the culprit lesion; or whether the plaque is at high risk of future adverse events.
Journal ArticleDOI
Update in the Percutaneous Management of Coronary Chronic Total Occlusions.
Peter Tajti,M. Nicholas Burke,Dimitri Karmpaliotis,Khaldoon Alaswad,Gerald S. Werner,Lorenzo Azzalini,Mauro Carlino,Mitul Patel,Kambis Mashayekhi,Mohaned Egred,Oleg Krestyaninov,Dmitrii Khelimskii,William J. Nicholson,Imre Ungi,Alfredo R. Galassi,Subhash Banerjee,Emmanouil S. Brilakis +16 more
TL;DR: New high-quality studies of the clinical outcomes and techniques of CTO PCI are needed, as is the expansion of expert centers and operators that can achieve excellent clinical outcomes in this challenging patient and lesion subgroup.
References
More filters
Journal ArticleDOI
Percutaneous recanalization of chronically occluded coronary arteries: a consensus document: part II.
Gregg W. Stone,David E. Kandzari,Roxana Mehran,Antonio Colombo,Robert S. Schwartz,Steven R. Bailey,Issam Moussa,Paul S. Teirstein,George Dangas,Donald S. Baim,Matthew Selmon,Bradley H. Strauss,Hideo Tamai,Takahiko Suzuki,Kazuaki Mitsudo,Osamu Katoh,David A. Cox,Angela Hoye,Gary S. Mintz,Eberhard Grube,Louis Cannon,Nicolaus Reifart,Mark Reisman,Alexander Abizaid,Jeffrey W. Moses,Martin B. Leon,Patrick W. Serruys +26 more
TL;DR: The technical approach to and outcomes after percutaneous coronary intervention (PCI) of occluded coronary arteries, as well as the novel devices and drugs approved and undergoing investigation for CTO recanalization, are summarized.
Journal ArticleDOI
Effect of intravascular ultrasound-guided vs angiography- guided everolimus-eluting stent implantation: The IVUS-XPL randomized clinical trial
Sung Jin Hong,Sung Jin Hong,Byeong Keuk Kim,Dong Ho Shin,Chung Mo Nam,Jung Sun Kim,Young Guk Ko,Donghoon Choi,Tae-Soo Kang,Woong-Chol Kang,Ae-Young Her,Yong Hoon Kim,Seung Ho Hur,Bum-Kee Hong,Hyuck Moon Kwon,Yangsoo Jang,Myeong Ki Hong +16 more
TL;DR: The use of IVUS-guided everolimus-eluting stent implantation, compared with angiography-guided stent implants, resulted in a significantly lower rate of the composite of major adverse cardiac events at 1 year, primarily due to lower risk of target lesion revascularization.
Journal ArticleDOI
In-hospital outcomes of contemporary percutaneous coronary intervention in patients with chronic total occlusion insights from the J-CTO Registry (Multicenter CTO Registry in Japan).
Yoshihiro Morino,Takeshi Kimura,Yasuhiko Hayashi,Toshiya Muramatsu,Masahiko Ochiai,Yuichi Noguchi,Kenichi Kato,Yoshisato Shibata,Yoshikazu Hiasa,Osamu Doi,Takehiro Yamashita,Takeshi Morimoto,Mitsuru Abe,Tomoaki Hinohara,Kazuaki Mitsudo,J-Cto Registry Investigators +15 more
TL;DR: Most CTO lesions can be safely and successfully treated with PCI utilizing contemporary advanced techniques, and Invasiveness and potential risks of these strategies may be acceptable in the majority of cases considering the actual incidences of related adverse events and the procedural success rates.
Journal ArticleDOI
Development and Validation of a Novel Scoring System for Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Interventions: The PROGRESS CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) Score.
Georgios Christopoulos,David E. Kandzari,Robert W. Yeh,Farouc A. Jaffer,Dimitri Karmpaliotis,Michael R. Wyman,Khaldoon Alaswad,William Lombardi,J. Aaron Grantham,Jeffrey W. Moses,Georgios E. Christakopoulos,Muhammad Nauman J Tarar,Bavana V. Rangan,Nicholas Lembo,Santiago Garcia,Daisha J. Cipher,Craig A. Thompson,Subhash Banerjee,Emmanouil S. Brilakis +18 more
TL;DR: The PROGRESS CTO score is a novel useful tool for estimating technical success in CTO PCI performed using the hybrid approach.
Journal ArticleDOI
Retrograde Recanalization of Chronic Total Occlusions in Europe: Procedural, In-Hospital, and Long-Term Outcomes From the Multicenter ERCTO Registry
Alfredo R. Galassi,Georgios Sianos,Gerald S. Werner,Javier Escaned,Salvatore D. Tomasello,Marouane Boukhris,Marine Castaing,Joachim H. Büttner,Alexander Bufe,Artis Kalnins,James C. Spratt,Roberto Garbo,David Hildick-Smith,Simon Elhadad,Andrea Gagnor,Bernward Lauer,Leszek Bryniarski,Evald Høj Christiansen,Leif Thuesen,Markus Meyer-Geßner,Omer Goktekin,Mauro Carlino,Yves Louvard,Thierry Lefèvre,Aigars Lismanis,Valery Gelev,Antonio Serra,Francesco Marzà,Carlo Di Mario,Nicolaus Reifart,Euro Cto Club +30 more
TL;DR: The number of retrograde procedures in Europe has increased, with high percents of success, low rates of major complications, and good long-term outcomes.
Related Papers (5)
The Hybrid Algorithm for Treating Chronic Total Occlusions in Europe The RECHARGE Registry
Joren Maeremans,Simon J Walsh,Paul Knaapen,James C. Spratt,Alexandre Avran,Colm G. Hanratty,Benjamin Faurie,Pierfrancesco Agostoni,Erwan Bressollette,Peter Kayaert,Alan Bagnall,Mohaned Egred,Dave Smith,Alexander Chase,Margaret McEntegart,William Smith,Alun Harcombe,Paul Kelly,John Irving,Elliot J. Smith,Julian Strange,Joseph Dens +21 more
Predicting Successful Guidewire Crossing Through Chronic Total Occlusion of Native Coronary Lesions Within 30 Minutes : The J-CTO (Multicenter CTO Registry in Japan) Score as a Difficulty Grading and Time Assessment Tool
Development and Validation of a Novel Scoring System for Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Interventions: The PROGRESS CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) Score.
Georgios Christopoulos,David E. Kandzari,Robert W. Yeh,Farouc A. Jaffer,Dimitri Karmpaliotis,Michael R. Wyman,Khaldoon Alaswad,William Lombardi,J. Aaron Grantham,Jeffrey W. Moses,Georgios E. Christakopoulos,Muhammad Nauman J Tarar,Bavana V. Rangan,Nicholas Lembo,Santiago Garcia,Daisha J. Cipher,Craig A. Thompson,Subhash Banerjee,Emmanouil S. Brilakis +18 more