Aorto-ostial coronary lesions (AOLs) are important to detect due to the high risk of catastrophic consequences. Unfortunately, due to the complexities of these lesions, they may be missed on invasive coronary angiography. Computed tomography coronary angiogram (CTCA) is highly sensitive and specific in detecting AOLs, and has the additional advantage of demonstrating the surrounding anatomy. CTCA is particularly useful when assessing for AOL aetiologies in addition to atherosclerotic disease, ongenital anomalies, extrinsic ompression, atrogenic, rteritis and ther, such as hrombus, mbolism, issection and pasm. This gives rise to " ()" as a proposed aide-mémoire and will form the structure of this pictorial review.
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http://dx.doi.org/10.1259/bjr.20210211 | DOI Listing |
Rev Cardiovasc Med
December 2024
Department of Cardiology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
Background: Elective unprotected left main (ULM) percutaneous coronary intervention (PCI) has long-term mortality rates comparable to surgical revascularization, thanks to advances in drug-eluting stent (DES) design, improved PCI techniques, and frequent use of intravascular imaging. However, urgent PCI of ULM culprit lesions remains associated with high in-hospital mortality and unfavourable long-term outcomes, including DES restenosis and stent thrombosis (ST). This analysis aimed to examine the long-term outcomes and healing of DES implanted in ULM during primary PCI using high-resolution optical coherence tomography (OCT) imaging.
View Article and Find Full Text PDFAm J Cardiol
February 2025
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands. Electronic address:
Indian J Thorac Cardiovasc Surg
November 2024
Department of Cardiovascular & Thoracic Surgery, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham (Amrita University), Ponnekara PO, Kochi, PIN 682041 India.
Coronary artery stents protruding into the aorta is a rarely reported problem. Issues with the protruding stent include embolization and interference with aortic valve function. Management of this rare situation should be on an individualized basis.
View Article and Find Full Text PDFJACC Cardiovasc Interv
October 2024
Department of Cardiovascular Medicine, William Beaumont University Hospital, Corewell Health East, Royal Oak, Michigan, USA.
JACC Cardiovasc Interv
October 2024
Department of Cardiology, Kurashiki Central Hospital, Okayama, Japan.
Background: PCI for aorto-ostial CTO remains challenging. The techniques for guidewire in aorto-ostial CTO may differ from those used in non-aorto-ostial CTOs, influenced by clinical and angiographic characteristics.
Objectives: This study aimed to assess the technical aspects and outcomes of percutaneous coronary intervention (PCI) in patients with aorto-ostial chronic total occlusion (CTO).
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