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Review Article2018 Oct 22;20(12):141.

JOURNAL：Curr Cardiol Rep. Article Link

Chronic Total Occlusion Interventions: Update on Current Tips and Tricks

Tajti P, Xenogiannis I, Brilakis ES et al. Keywords: Chronic total occlusion; Complex coronary interventions; PCI ; Techniques

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.


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