Bibliographic Details
| Summary: | The authors developed a global chronic total occlusion crossing algorithm following 10 steps: 1) dual angiography; 2) careful angiographic review focusing on proximal cap morphology, occlusion segment, distal vessel quality, and collateral circulation; 3) approaching proximal cap ambiguity using intravascular ultrasound, retrograde, and move-the-cap techniques; 4) approaching poor distal vessel quality using the retrograde approach and bifurcation at the distal cap by use of a dual-lumen catheter and intravascular ultrasound; 5) feasibility of retrograde crossing through grafts and septal and epicardial collateral vessels; 6) antegrade wiring strategies; 7) retrograde approach; 8) changing strategy when failing to achieve progress; 9) considering performing an investment procedure if crossing attempts fail; and 10) stopping when reaching high radiation or contrast dose or in case of long procedural time, occurrence of a serious complication, operator and patient fatigue, or lack of expertise or equipment. This algorithm can improve outcomes and expand discussion, research, and collaboration. |
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| Main Authors: | Wu, Eugene B. |
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| Other Authors: | Brilakis, Emmanouil S.; Mashayekhi, Kambis; Tsuchikane, Etsuo; Alaswad, Khaldoon; Araya, Mario; Avran, Alexandre; Azzalini, Lorenzo; Babunashvili, Avtandil M.; Bayani, Baktash; Behnes, Michael; Rinfret, Stephane; Saghatelyan, Meruzhan; Sianos, George; Smith, Elliot; Spaedy, Anthony; Spratt, James; Stone, Gregg; Strange, Julian W.; Tammam, Khalid O.; Thompson, Craig A.; Bhindi, Ravinay; Toma, Aurel; Tremmel, Jennifer A.; Trinidad, Ricardo Santiago; Ungi, Imre; Vo, Minh; Vu, Vu Hoang; Walsh, Simon; Werner, Gerald; Wojcik, Jaroslaw; Wollmuth, Jason; Boudou, Nicolas; Xu, Bo; Yamane, Masahisa; Ybarra, Luiz F.; Yeh, Robert W.; Zhang, Qi; Boukhris, Marouane; Bozinovic, Nenad Z.; Bryniarski, Leszek; Bufe, Alexander; Buller, Christopher E.; Burke, M. Nicholas; Buttner, Achim; Cardoso, Pedro; Carlino, Mauro; Chen, Ji-Yan; Christiansen, Evald Hoej; Colombo, Antonio; Croce, Kevin; de los Santos, Felix Damas; de Martini, Tony; Dens, Joseph; di Mario, Carlo; Dou, Kefei; Egred, Mohaned; Elbarouni, Basem; ElGuindy, Ahmed M.; Escaned, Javier; Furkalo, Sergey; Gagnor, Andrea; Galassi, Alfredo R.; Garbo, Roberto; Gasparini, Gabriele; Ge, Junbo; Ge, Lei; Goel, Pravin Kumar; Goktekin, Omer; Gonzalo, Nieves; Grancini, Luca; Hall, Allison; Hanna Quesada, Franklin Leonardo; Hanratty, Colm; Harb, Stefan; Harding, Scott A.; Hatem, Raja; Henriques, Jose P.S.; Hildick-Smith, David; Hill, Jonathan M.; Hoye, Angela; Jaber, Wissam; Jaffer, Farouc A.; Jang, Yangsoo; Jussila, Risto; Kalnins, Artis; Kalyanasundaram, Arun; Kandzari, David E.; Kao, Hsien-Li; Karmpaliotis, Dimitri; Kassem, Hussien Heshmat; Khatri, Jaikirshan; Knaapen, Paul; Kornowski, Ran; Krestyaninov, Oleg; Kumar, A.V. Ganesh; Lamelas, Pablo Manuel; Lee, Seung-Whan; Lefevre, Thierry; Leung, Raymond; Li, Yu; Li, Yue; Lim, Soo-Teik; Lo, Sidney; Lombardi, William; Maran, Anbukarasi; McEntegart, Margaret; Moses, Jeffrey; Munawar, Muhammad; Navarro, Andres; Ngo, Hung M.; Nicholson, William; Oksnes, Anja; Olivecrona, Goran K.; Padilla, Lucio; Patel, Mitul; Pershad, Ashish; Postu, Marin; Qian, Jie; Quadros, Alexandre; Rafeh, Nidal Abi; Råmunddal, Truls; Prakasa Rao, Vithala Surya; Reifart, Nicolaus; Riley, Robert F. |
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| Subject: | Chronic total occlusion Global Percutaneous coronary intervention Treatment algorithm |
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| Year: | 2021 |
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| Country: | Portugal |
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| Document type: | article |
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| Access type: | open access |
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| Associated institution: | Universidade de Lisboa |
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| Language: | English |
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| Origin: | Repositório da Universidade de Lisboa |
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