Utility of adjunctive modalities in Coronary chronic total occlusion intervention
Coronary chronic total occlusion (CTO) intervention remains one of the most challenging domains in interventional cardiology. Due to the technical challenges involved and potential procedural complications, CTO percutaneous coronary intervention (PCI) attempt and success rates remain less than stand...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-05-01
|
| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483216309270 |
| _version_ | 1819095117751910400 |
|---|---|
| author | Hemal Bhatt Sean Janzer Jon C. George |
| author_facet | Hemal Bhatt Sean Janzer Jon C. George |
| author_sort | Hemal Bhatt |
| collection | DOAJ |
| description | Coronary chronic total occlusion (CTO) intervention remains one of the most challenging domains in interventional cardiology. Due to the technical challenges involved and potential procedural complications, CTO percutaneous coronary intervention (PCI) attempt and success rates remain less than standard PCI. However, the use of several adjunctive tools such as intravascular ultrasound, optical coherence tomography, rotational atherectomy, orbital atherectomy, excimer laser coronary atherectomy and percutaneous left ventricular assist device may contribute to improved CTO PCI success rates or provide better hemodynamic assessment of CTO lesion (i.e., using fractional flow reserve). In this review we present the current literature describing the utility and efficacy of these adjunctive modalities in CTO intervention. |
| first_indexed | 2024-12-21T23:38:12Z |
| format | Article |
| id | doaj.art-6281aa79b7284c51b622e0ac7472392d |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-21T23:38:12Z |
| publishDate | 2017-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-6281aa79b7284c51b622e0ac7472392d2022-12-21T18:46:18ZengElsevierIndian Heart Journal0019-48322017-05-0169337538110.1016/j.ihj.2017.02.015Utility of adjunctive modalities in Coronary chronic total occlusion interventionHemal BhattSean JanzerJon C. GeorgeCoronary chronic total occlusion (CTO) intervention remains one of the most challenging domains in interventional cardiology. Due to the technical challenges involved and potential procedural complications, CTO percutaneous coronary intervention (PCI) attempt and success rates remain less than standard PCI. However, the use of several adjunctive tools such as intravascular ultrasound, optical coherence tomography, rotational atherectomy, orbital atherectomy, excimer laser coronary atherectomy and percutaneous left ventricular assist device may contribute to improved CTO PCI success rates or provide better hemodynamic assessment of CTO lesion (i.e., using fractional flow reserve). In this review we present the current literature describing the utility and efficacy of these adjunctive modalities in CTO intervention.http://www.sciencedirect.com/science/article/pii/S0019483216309270Chronic total occlusionPercutaneous coronary interventionAdjunctive modalitiesFractional flow reserveIntravascular ultrasound |
| spellingShingle | Hemal Bhatt Sean Janzer Jon C. George Utility of adjunctive modalities in Coronary chronic total occlusion intervention Indian Heart Journal Chronic total occlusion Percutaneous coronary intervention Adjunctive modalities Fractional flow reserve Intravascular ultrasound |
| title | Utility of adjunctive modalities in Coronary chronic total occlusion intervention |
| title_full | Utility of adjunctive modalities in Coronary chronic total occlusion intervention |
| title_fullStr | Utility of adjunctive modalities in Coronary chronic total occlusion intervention |
| title_full_unstemmed | Utility of adjunctive modalities in Coronary chronic total occlusion intervention |
| title_short | Utility of adjunctive modalities in Coronary chronic total occlusion intervention |
| title_sort | utility of adjunctive modalities in coronary chronic total occlusion intervention |
| topic | Chronic total occlusion Percutaneous coronary intervention Adjunctive modalities Fractional flow reserve Intravascular ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S0019483216309270 |
| work_keys_str_mv | AT hemalbhatt utilityofadjunctivemodalitiesincoronarychronictotalocclusionintervention AT seanjanzer utilityofadjunctivemodalitiesincoronarychronictotalocclusionintervention AT joncgeorge utilityofadjunctivemodalitiesincoronarychronictotalocclusionintervention |