scholarly journals Common and Uncommon CTO complications

2018 ◽  
Vol 13 (3) ◽  
pp. 121 ◽  
Author(s):  
Johannes Rigger ◽  
Colm G. Hanratty ◽  
Simon J Walsh ◽  
◽  
◽  
...  
Keyword(s):  
Interventional Cardiology ◽  
Haemodynamic Instability ◽  
Percutaneous Coronary Interventions ◽  
Efficient Manner ◽  
Chronic Total Occlusions ◽  
Operator Experience ◽  
Percutaneous Coronary ◽  
Timely Fashion ◽  
Ongoing Development ◽  
Artery Disease

Despite the ongoing development of technical skills, increasing operator experience and improvements in medical devices, percutaneous coronary interventions (PCI) for chronic total occlusions (CTO) are still the most challenging procedures in interventional cardiology for coronary artery disease. Due to the complexity of the procedury have a higher complication rate than PCI interventions for the treatment of non-occlusive disease. This may significantly increase procedural morbidity and potentially mortality. CTO-PCI related complications include all the usual complications that are seen in routine PCI in addition to unique issues such as inadvertent occlusion of donor vessels or injury of collateral channels causing haemodynamic instability or ischaemia. To minimise the morbidity associated with these procedures, it is important to be aware of potential complications and recognise them in a timely fashion. Should they arise, operators should be able to deal with them in a safe and efficient manner.

scholarly journals Causal Models for the Result of Percutaneous Coronary Intervention in Coronary Chronic Total Occlusions

2021 ◽  
Vol 11 (19) ◽  
pp. 9258
Author(s):  
Maria Ganopoulou ◽  
Ioannis Kangelidis ◽  
Georgios Sianos ◽  
Lefteris Angelis
Keyword(s):  
Predictive Model ◽  
Causal Structure ◽  
Model Development ◽  
Coronary Intervention ◽  
Causal Models ◽  
Percutaneous Coronary Interventions ◽  
Graph Structure ◽  
Chronic Total Occlusions ◽  
Operator Experience ◽  
Percutaneous Coronary

Background: Patients undergoing coronary angiography very frequently exhibit coronary chronic total occlusions (CTOs). Over the last decade, there has been an increasing acceptance of the percutaneous coronary interventions (PCI) in CTOs due to, among else, rising operator experience and advances in technology. This study is an effort to address the problem of identifying important factors related to the success or failure of the PCI. Methods: The analysis is based on the EuroCTO Registry, which is the largest database available worldwide, consisting of 164 variables and 29,995 cases for the period 2008–2018. The aim is to assess the dynamics of causal models and causal discovery, using observational data, in predicting the result of the PCI. Causal models use graph structure to assess the cause–effect relationships between variables. In this study, the constrained-based algorithm PC was employed. The focus was to find the local causal structure around the PCI result and use it as a feature selection tool for building a predictive model. Results: The model developed was compared with other modeling approaches from the literature, and it was found to perform equally well or better. Conclusions: The analysis showcased the potential of employing local causal structure in predictive model development.

scholarly journals Role of Intravascular Ultrasound in Guiding Complex Percutaneous Coronary Interventions

2020 ◽  
Vol 14 ◽  
Author(s):  
Brandon Quintana ◽  
Akram Ibrahim
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Intravascular Ultrasound ◽  
Symptomatic Relief ◽  
Interventional Cardiology ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
Artery Disease

Complex percutaneous coronary interventions (PCIs) are increasing in frequency due to the rapid advances in interventional cardiology. This has had a favorable impact on patients with extensive coronary artery disease and multiple comorbidities with regard to symptomatic relief and mortality. With this increase, cardiologists must develop a standardized way to approach complex PCI in an era in which angiographic guidance alone yields suboptimal results. Intravascular ultrasound (IVUS) has been shown to improve outcomes with better preprocedural planning, improved stent placement, and larger stent diameters. Considering the supportive data, the use of IVUS is crucial in all cases of complex PCI.

P5.21 PERCUTANEOUS CORONARY INTERVENTIONS OF CHRONIC TOTAL OCCLUSIONS: GENDER DIFFERENCES – SINGLE CENTER EXPERIENCE

2015 ◽  
Vol 12 (C) ◽  
pp. 24
Author(s):  
Leszek Bryniarski* ◽  
Slawomir Surowiec ◽  
Lukasz Klima ◽  
Michal Terlecki ◽  
Piotr Jankowski ◽  
...  
Keyword(s):  
Gender Differences ◽  
Percutaneous Coronary Interventions ◽  
Single Center ◽  
Chronic Total Occlusions ◽  
Coronary Interventions ◽  
Single Center Experience ◽  
Percutaneous Coronary

Oxford Textbook of Interventional Cardiology

2018 ◽  
Keyword(s):  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Western Society ◽  
Evidence Based ◽  
New Techniques ◽  
Novel Section ◽  
Percutaneous Coronary ◽  
Expert Team ◽  
Artery Disease ◽  
Evidence Based Guidelines

The Oxford Textbook of Interventional Cardiology is the definitive text, spanning the whole spectrum of interventional cardiology procedures, including management of patients with coronary artery disease, one of the leading killers in western society. This textbook, covering key procedures and fully revised and updated to include the latest trials, technology, and new techniques, is essential reading. The Oxford Textbook of Interventional Cardiology 2nd edition spans the whole spectrum of interventional cardiology procedures, including a novel section on the future of interventional cardiology, and multiple new chapters covering special devices in percutaneous coronary intervention. Written by an expert team of international authors, this book offers guidance on all aspects of interventional cardiology according to the European curriculum, and covers the evidence-based guidelines for a comprehensive view of the field.

Sign in / Sign up

Export Citation Format

Share Document