Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302030 | PMC |
| http://dx.doi.org/10.1016/j.jaccas.2020.04.042 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Intravascular ultrasound-guided reentry wiring with tip-detection technique for chronic total occlusion of lower extremity artery disease.
CVIR Endovasc
December 2024
Department of Cardiovascular Medicine, Asahi General Hospital, I-1326 Asahi, Chiba, 289-2511, Japan.
Background: Endovascular therapy is an effective method for revascularization in lower extremity artery disease, but treating chronic total occlusion (CTO) remains challenging. This is particularly true for patients with severe calcification, poor run-off in below-the-knee arteries, or limited access sites, where even guidewire (GW) passage can be difficult and bidirectional approaches are often not feasible. The tip-detection (TD) method has been reported as a useful technique in coronary artery CTO interventions, allowing real-time visualization of the GW tip direction.
View Article and Find Full Text PDFSide branch preservation using tip detection-antegrade dissection re-entry after failed subintimal tracking and re-entry in chronic total occlusion: a case report.
Eur Heart J Case Rep
November 2024
Department of Cardiovascular Medicine, Sapporo Cardiovascular Clinic, Sapporo Heart Center, North 49, East 16, 8-1, Higashi Ward, 007-0849 Sapporo, Japan.
Article Synopsis
- The text discusses a case involving a 78-year-old man with stable angina due to a chronic total occlusion (CTO) in the left circumflex coronary artery, treated using advanced techniques.
- It highlights the successful use of tip detection-antegrade dissection re-entry (TDADR) guided by intravascular ultrasound (IVUS) as an alternative when the subintimal tracking and re-entry (STAR) technique failed to recanalize the main vessel.
- At the 12-month follow-up, the patient reported no angina, and imaging showed that the treated areas remained open with no significant restenosis, though challenges like limited access to IVUS may hinder broader use of TDADR.
Comparison between tip-detection method and retrograde approach for chronic total occlusion percutaneous coronary intervention.
Cardiovasc Interv Ther
January 2025
Cardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital, 4-3-51 Nakanoshima, Kita Ward, Osaka, 530-0005, Japan.
Background: The tip-detection method and the retrograde approach have been acknowledged as a second-line strategies for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) when conventional antegrade wiring strategies are ineffective. The aim of this study is to compare the efficacy between both strategies for complex CTO PCI.
Methods: We retrospectively enrolled 170 consecutive CTO PCI cases and separated them into 295 adopted strategies.
Management of iatrogenic ascending aortic dissection after percutaneous intervention of chronic total occlusion.
Catheter Cardiovasc Interv
December 2024
Cleveland Clinic, Cleveland, Ohio, USA.
Article Synopsis
- This study examines the occurrence and management of iatrogenic ascending aortic dissection following percutaneous intervention for chronic total occlusion in patients.
- A review of patient data from 2020 to 2022 revealed six cases of aortic dissection, caused by various procedural issues, but all were managed conservatively without needing urgent surgery.
- The findings suggest that though aortic dissection is rare, it is more common in CTO PCI than in non-CTO PCI, and IVUS-guided interventions can be safely performed if patients remain stable.
The Role of Coronary Imaging in Chronic Total Occlusions: Applications and Future Possibilities.
J Cardiovasc Dev Dis
September 2024
Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy.
Article Synopsis
- Chronic total occlusions (CTOs) are a significant challenge in coronary artery disease (CAD) and require advanced diagnostic and treatment methods due to their prevalence in patients undergoing coronary angiography.
- Traditional coronary angiography has limited ability to provide details on lesions and heart viability, but imaging techniques like optical coherence tomography (OCT), intravascular ultrasound (IVUS), and coronary computed tomography angiography (CCTA) offer valuable insights during percutaneous coronary intervention (PCI).
- Although each imaging method has its drawbacks, they collectively improve CTO-PCI success rates, lower complications, and enhance patient outcomes, with future advancements such as AI and hybrid imaging expected to further improve precision and personalize patient care.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!