7 results match your criteria: "Heartcenter Lahr[Affiliation]"
Parallel Wire Approach for Recanalisation of Chronic Total Coronary Occlusions in a Large Contemporary Multi-Center Registry.
Catheter Cardiovasc Interv
January 2025
Department of Internal Medicin and Cardiology, Heartcenter Lahr, Lahr, Germany.
Background: The parallel wire technique (PW) is a classic part of the antegrade strategy to open chronic total coronary occlusions (CTO).
Aims: With modern wires and dual-lumen catheters (DLC) the approach has evolved, but this progress had not been evaluated in a contemporary registry of CTO interventions.
Method: This analysis is based on 26,589 CTO procedures performed by 36 operators with > 50 procedures annually between 2015 and 2022.
Reclassification of CTO Crossing Strategies in the ERCTO Registry According to the CTO-ARC Consensus Recommendations.
JACC Cardiovasc Interv
October 2024
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Italy. Electronic address:
Article Synopsis
- The CTO-ARC identified the need for standardized definitions in chronic total occlusion (CTO) procedures to avoid bias in attributing complications to different crossing strategies.
- A study analyzed data from 8,673 patients in the European Registry of Chronic Total Occlusions, finding that the antegrade approach was used in 79.2% of cases, while retrograde was used in 20.8%.
- Results showed that alternative antegrade crossing had lower technical success rates and higher complication rates compared to true antegrade and retrograde methods, though it was primarily used as a rescue strategy in most instances.
Long-Term Survival and Angina After Chronic Total Occlusion Percutaneous Coronary Intervention Compared With Medical Therapy: A Meta-Analysis.
J Am Heart Assoc
October 2024
Department of Cardiology, Heart Center, Amsterdam Cardiovascular Sciences Amsterdam UMC, location Academic Medical Center Amsterdam The Netherlands.
International survey of chronic total occlusion percutaneous coronary intervention operators.
Catheter Cardiovasc Interv
January 2024
Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA.
Background: Contemporary chronic total occlusion (CTO) percutaneous coronary intervention (PCI) practice has received limited study.
Aim: To examine the contemporary CTO PCI practice.
Methods: We performed an online, anonymous, international survey of CTO PCI operators.
The Psychology of Chronic Total Occlusions and Complex High-Risk Procedures (CHIP) Operators.
JACC Cardiovasc Interv
September 2023
Center for Advanced Coronary Interventions, Minneapolis Heart Institute, Minneapolis, Minnesota, USA.
Utility of Guiding Catheter Extensions for Recanalization of Chronic Total Occlusions: A EuroCTO Club Expert Panel Report.
JACC Cardiovasc Interv
August 2023
Structural Interventional Cardiology, University Hospital Careggi, Florence, Italy.
Guiding catheter extensions (GCEs) have become indispensable tools in the modern approach to percutaneous coronary intervention (PCI). The support offered during complex PCI of uncrossable, or tortuous lesions is particularly valuable in the setting of chronic total occlusions (CTO), both for conventional anterograde wire escalation and for anterograde or retrograde dissection and re-entry techniques. This EuroCTO consensus document describes the use of GCE during CTO recanalization and provides a practical guide to anatomies and techniques in which these devices are applicable.
View Article and Find Full Text PDFComparative Analysis of Patient Characteristics in Chronic Total Occlusion Revascularization Studies: Trials vs Real-World Registries.
JACC Cardiovasc Interv
July 2022
Division of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA. Electronic address:
Background: The few randomized controlled trials (RCTs) on chronic total occlusion (CTO) percutaneous coronary intervention (PCI) are subject to selection bias.
Objectives: The purpose of this study was to evaluate the differences between real-world CTO patients and those enrolled in RCTs.
Methods: This study performed a meta-analysis of national and dedicated CTO PCI registries and compared patient characteristics and outcomes with those of RCTs that randomized patients to CTO PCI versus medical therapy.