keyword
https://read.qxmd.com/read/37674012/a-novel-parallel-wire-based-antegrade-dissection-re-entry-technique-for-failed-retrograde-attempt-of-coronary-chronic-total-occlusions-with-risk-nomogram-analysis
#21
JOURNAL ARTICLE
Yuanji Ma, Hao Lu, Yiqing Hu, Jianquan Liao, Jianying Ma, Chenguang Li, Lei Ge, Juying Qian, Kang Yao, Junbo Ge
BACKGROUND: Rapid development in coronary chronic total occlusion (CTO) interventional techniques and devices have achieved a greater success rate with favorable outcomes. Antegrade dissection re-entry (ADR) technique is an important CTO crossing strategy and a desirable approach for long CTOs with good distal landing zone. However, unsuccessful procedures in contemporary CTO-percutaneous coronary intervention (PCI) remain, especially in lesions with non-interventional collaterals. METHOD: Based on a single center experience, a hybrid interventional algorithm, parallel wire-based ADR (PW-ADR) combines the advantages of parallel wire technique (PWT) and device-based ADR to target CTO lesions with failed retrograde approach...
September 7, 2023: Cardiovascular Drugs and Therapy
https://read.qxmd.com/read/37587590/utility-of-guiding-catheter-extensions%C3%A2-for%C3%A2-recanalization-of-chronic%C3%A2-total-occlusions-a-eurocto-club-expert-panel-report
#22
REVIEW
Roberto Garbo, Mario Iannaccone, Gerald S Werner, Kambis Mashayekhi, Nicolas Boudou, Alexander Bufe, Pierfrancesco Agostoni, Alexandre Avran, Andrea Gagnor, Gabriele Gasparini, Sevket Gorgulu, Alfredo R Galassi, Georgios Sianos, Carlo di Mario
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...
August 14, 2023: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/37510798/single-versus-dual-operator-approaches-for-percutaneous-coronary-interventions-within-chronic-total-occlusion-an-analysis-of-27-788-patients
#23
JOURNAL ARTICLE
Rafał Januszek, Giuseppe De Luca, Wojciech Siłka, Leszek Bryniarski, Krzysztof Piotr Malinowski, Andrzej Surdacki, Wojciech Wańha, Stanisław Bartuś, Aleksandra Piotrowska, Krzysztof Bartuś, Kamil Pytlak, Zbigniew Siudak
(1) Background: Since the treatment of chronic total occlusion (CTO) with percutaneous coronary intervention (PCI) is associated with high procedural complexity, it has been suggested to use a multi-operator approach. This study was aimed at evaluating the procedural outcomes of single (SO) versus dual-operator (DO) CTO-PCI approaches. (2) Methods: This retrospective analysis included data from the Polish Registry of Invasive Cardiology Procedures (ORPKI), collected between January 2014 and December 2020. To compare the DO and SO approaches, propensity score matching was introduced with equalized baseline features...
July 14, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37477010/factors-associated-with-early-and-late-restenosis-following-drug-coated-balloon-treatment-for-patients-with-femoropopliteal-lesions
#24
JOURNAL ARTICLE
Taku Toyoshima, Osamu Iida, Mitsuyoshi Takahara, Shin Okamoto, Takayuki Ishihara, Kiyonori Nanto, Takuya Tsujimura, Yosuke Hata, Naoko Higashino, Sho Nakao, Tomofumi Tsukizawa, Kunihiko Nishian, Masahiko Fujihara, Daizo Kawasaki, Toshiaki Mano
PURPOSE: Clinical trials have demonstrated the superiority of drug-coated balloon (DCB) to noncoated balloon angioplasty for the treatment of femoropopliteal (FP) lesions. In those trials, the difference of primary patency between DCB and noncoated angioplasty widens especially after 6 months, speculating that the antirestenosis effect of paclitaxel is manifested after 6 months. Factors associated with restenosis after 6 months differ from those associated with restenosis within 6 months...
July 21, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37353443/antegrade-wire-escalation-in-chronic-total-occlusions-state-of-the-art-review
#25
REVIEW
Kara Denby, Laura Young, Stephen Ellis, Jaikirshan Khatri
Coronary chronic total occlusion percutaneous coronary intervention treatment algorithms have helped to standardize crossing strategy sequence to improve efficacy and efficiency of CTO interventions based on angiographic criteria. Unfortunately, advanced crossing techniques such as a retrograde and subintimal guidewire tracking and reentry that have accelerated procedural success in more difficult lesions are associated with higher major adverse cardiac event rates as compared with traditional antegrade and intimal guidewire tracking...
June 18, 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/37318023/comparative-outcomes-of-interventions-for-femoropopliteal-chronic-total-occlusion-versus-non-chronic-total-occlusion-lesions-from-the-multicenter-xlpad-registry
#26
JOURNAL ARTICLE
Shirling Tsai, Yulun Liu, Lawrence Hoang, Michael Vu, Hua Lu, Bala Ramanan, David Fernandez Vazquez, Zachary Rosol, Sameh Sayfo, Mohamad Amer Alaiti, Panagiotis Koutakis, Emmanouil S Brilakis, Mehdi H Shishehbor, Subhash Banerjee
Background Endovascular intervention of femoropopliteal chronic total occlusions (CTOs) is technically more complex. However, there is lack of comparative analysis between CTO and non-CTO femoropopliteal interventions. Methods and Results We report procedural details and outcomes of patients treated for femoropopliteal CTO and non-CTO lesions in the XLPAD (Excellence in Peripheral Artery Disease) registry (NCT01904851) between 2006 and 2019. Primary outcomes were procedural success and 1-year major adverse limb events, a composite of all-cause death, target limb revascularization, or major amputation...
June 15, 2023: Journal of the American Heart Association
https://read.qxmd.com/read/37245654/interventions-in-chronic-total-occlusions-with-bifurcation-lesions-incidence-treatment-and-in-hospital-outcome
#27
JOURNAL ARTICLE
Nikolaos V Konstantinidis, Bernard Chevalier, Thomas Hovasse, Philippe Garot, Hakim Benamer, Thierry Unterseeh, Stephane Champagne, Francesca Sanguineti, Antoinette Neylon, Theodoros Moysiadis, Alexandre Avran, Yves Louvard, Thierry Lefèvre
INTRODUCTION AND OBJECTIVES: Coronary chronic total occlusions (CTO) involving bifurcation lesions are a challenging lesion subset that is understudied in the literature. This study analyzed the incidence, procedural strategy, in-hospital outcomes and complications of percutaneous coronary interventions (PCI) for bifurcation-CTO (BIF-CTO). METHODS: We assessed data from 607 consecutive CTO patients treated at the Institut Cardiovasculaire Paris Sud (ICPS), Massy, France between January 2015 and February 2020...
May 26, 2023: Revista Española de Cardiología
https://read.qxmd.com/read/37232278/predictors-of-target-lesion-failure-after-treatment-of-left-main-bifurcation-or-chronic-total-occlusion-lesions-with-ultrathin-strut-drug-eluting-coronary-stents-in-the-ultra-registry
#28
JOURNAL ARTICLE
Ovidio de Filippo, Francesco Bruno, Tineke H Pinxterhuis, Mariusz Gąsior, Leor Perl, Luca Gaido, Domenico Tuttolomondo, Antonio Greco, Roberto Verardi, Gianluca Lo Martire, Mario Iannaccone, Attilio Leone, Gaetano Liccardo, Serena Caglioni, Rocio González Ferreiro, Giulio Rodinò, Giuseppe Musumeci, Giuseppe Patti, Irene Borzillo, Giuseppe Tarantini, Wojciech Wańha, Bruno Casella, Eline H Ploumen, Łukasz Pyka, Ran Kornowski, Andrea Gagnor, Raffaele Piccolo, Sergio Raposeiras Roubin, Davide Capodanno, Paolo Zocca, Federico Conrotto, Gaetano M De Ferrari, Clemens von Birgelen, Fabrizio D'Ascenzo
BACKGROUND: Data about the long-term performance of new-generation ultrathin-strut drug-eluting stents (DES) in challenging coronary lesions, such as left main (LM), bifurcation, and chronic total occlusion (CTO) lesions are scant. METHODS: The international multicenter retrospective observational ULTRA study included consecutive patients treated from September 2016 to August 2021 with ultrathin-strut (<70 µm) DES in challenging de novo lesions. Primary endpoint was target lesion failure (TLF): composite of cardiac death, target-lesion revascularization (TLR), target-vessel myocardial infarction (TVMI), or definite stent thrombosis (ST)...
May 26, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37194723/effectiveness-safety-and-patient-reported-outcomes-of-a-planned-investment-procedure-in-higher-risk-chronic-total-occlusion-percutaneous-coronary-intervention-%C3%A2-rationale-and-design-of-the-invest-cto-study
#29
JOURNAL ARTICLE
Anja Øksnes, Elisabeth Skaar, Britt Engan, Øyvind Bleie, Kjetil H Løland, Nadia Taoussi, Akiko Maheran, Tone Merete Norekvål, Svein Rotevatn, Margaret B McEntegart
BACKGROUND: The anatomical complexity of a chronic total occlusion (CTO) correlates with procedural failure and complication rates. CTO modification after unsuccessful crossing has been associated with subsequent higher technical success rates, but complication rates remain high with this approach. While successful CTO percutaneous coronary intervention (PCI) has been associated with improved angina and quality of life (QOL) this has not been demonstrated in anatomically high-risk CTOs...
May 17, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37164605/5-year-outcomes-of-drug-coated-balloons-for-peripheral-artery-in-stent-restenosis-long-lesions-and-ctos
#30
JOURNAL ARTICLE
Gunnar Tepe, Marianne Brodmann, Antonio Micari, Dierk Scheinert, Donghoon Choi, Jeremiah Menk, Thomas Zeller
BACKGROUND: Long-term data on drug-coated balloon (DCB) outcomes in complex femoropopliteal atherosclerotic lesions are limited. OBJECTIVES: The authors sought to report 5-year safety and effectiveness outcomes of a paclitaxel DCB for the treatment of de novo in-stent restenosis (ISR), long lesions (LL), or chronic total occlusions (CTOs) in the prespecified imaging cohorts of the IN.PACT Global Study. METHODS: The IN.PACT Global study was a prospective, international single-arm study...
May 8, 2023: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/37132671/overview-of-percutaneous-coronary-interventions-for-chronic-total-occlusions-treated-at-brazilian-centers-participating-in-the-latam-cto-registry
#31
JOURNAL ARTICLE
Antonio Carlos Botelho da Silva, João Eduardo Tinoco de Paula, Carlos M Campos, Marcelo Harada Ribeiro, Evandro Martins Filho, Marcos Danillo Peixoto Oliveira, Leandro Assumpção Côrtes, Aníbal Pereira Abelin, Cleverson Neves Zukowski, Gustavo Cervino Martinelli, Fábio Sândoli de Brito, Antônio José Muniz, Marcelo José de Carvalho Cantarelli, Pedro Beraldo de Andrade, César Rocha Medeiros, Breno de Alencar Araripe Falcão, Felipe Costa Fuchs, Leonardo Sinnott Silva, Tammuz Fattah, Ramiro Caldas Degrazia, José Armando Mangione, Cristiano Guedes Bezerra, Sandra Baradel, João Brum Silveira, Luiz Fernando Ybarra, Daniel Weillenmann, Carlos Gottschall, Viviana Lemke, Franciele Rosa da Silva, Marcia Moura Schmidt, Karlyse Claudino Belli, Pedro Piccaro de Oliveira, Alexandre Schaan de Quadros
BACKGROUND: Major advances have been seen in techniques and devices for performing percutaneous coronary interventions (PCIs) for chronic total occlusions (CTOs), but there are limited real-world practice data from developing countries. OBJECTIVES: To report clinical and angiographic characteristics, procedural aspects, and clinical outcomes of CTO PCI performed at dedicated centers in Brazil. METHODS: Included patients underwent CTO PCI at centers participating in the LATAM CTO Registry, a Latin American multicenter registry dedicated to prospective collection of these data...
2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/37076110/stenting-performs-better-than-drug-coated-balloon-angioplasty-in-popliteal-lesions
#32
JOURNAL ARTICLE
E A Andraska, R Martinez Garcia, O M Abdul Malak, N L Liang, N D Sridharan, R A Chaer, E D Avgerinos, K M Salem
BACKGROUND: Peripheral arterial disease (PAD) is a common and highly morbid disease. While there have been recent advancements in the endovascular modalities to treat PAD, comparisons of these strategies, especially in the popliteal region, remain under investigated. The objective of this study was to compare mid-term outcomes in patients with PAD undergoing treatment with both novel and standard stents compared to drug balloon angioplasty (DCB). METHODS: All patients at a multi-institution health system treated for PAD in the popliteal region from 2011 to 2019 were identified...
April 17, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37014764/effect-of-complete-percutaneous-revascularization-on-improving-long-term-outcomes-of-patients-with-chronic-total-occlusion-and-multi-vessel-disease
#33
JOURNAL ARTICLE
Zeya Li, Ziru Zhou, Lei Guo, Lei Zhong, Jingnan Xiao, Shaoke Meng, Yingdong Wang, Huaiyu Ding, Bo Zhang, Hao Zhu, Xuchen Zhou, Rongchong Huang
BACKGROUND: Limited data are available on the clinical outcomes of complete vs. incomplete percutaneous coronary intervention (PCI) for patients with chronic total occlusion (CTO) and multi-vessel disease (MVD) remains unknown. The study aimed to compare their clinical outcomes. METHODS: A total of 558 patients with CTO and MVD were divided into the optimal medical treatment (OMT) group (n = 86), incomplete PCI group (n = 327), and complete PCI group (n = 145). Propensity score matching (PSM) was performed between the complete and incomplete PCI groups as sensitivity analysis...
April 4, 2023: Chinese Medical Journal
https://read.qxmd.com/read/36935577/institutional-volume-and-initial-results-for-endovascular-treatment-for-chronic-occlusive-lower-extremity-artery-disease-a-report-from-the-japanese-nationwide-registry
#34
JOURNAL ARTICLE
Takahiro Tokuda, Mitsuyoshi Takahara, Osamu Iida, Shun Kohsaka, Yoshimitsu Soga, Yasuhiro Oba, Keisuke Hirano, Toshiro Shinke, Tetsuya Amano, Yuji Ikari
PURPOSE: Chronic total occlusion (CTO) remains as a major target for endovascular treatment (EVT) in improving symptomatic lower-extremity artery disease (LEAD). However, despite the technical demand and learning curve for the procedure, volume-outcome relationship of EVT targeted for CTO in symptomatic LEAD remains unclear. MATERIALS AND METHODS: Data were obtained from a nationwide registry for EVT procedures limited to the Japanese Association of Cardiovascular Intervention and Therapeutics between January 2018 and December 2020 from 660 cardiovascular centers in Japan...
March 19, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/36924047/best-crossing-of-peripheral-chronic-total-occlusions
#35
REVIEW
Grigorios Korosoglou, Andrej Schmidt, Michael Lichtenberg, Giovanni Torsello, Gerd Grözinger, Jihad Mustapha, Ramon L Varcoe, Ito Wulf, Britta Heilmeier, Oliver J Müller, Thomas Zeller, Erwin Blessing, Ralf Langhoff
<b/>Together with colleagues from different disciplines, including cardiologists, interventional radiologists and vascular surgeons, committee members of the of the German Society of Angiology ( Deutsche Gesellschaft für Angiologie [ DGA ]), developed a novel algorithm for the endovascular treatment of peripheral chronic total occlusive lesions (CTOs). Our aim is to improve patient and limb related outcomes, by increasing the success rate of endovascular procedures. This can be achieved by adherence to the proposed crossing algorithm, aiding the standardization of endovascular procedures...
March 16, 2023: VASA. Zeitschrift Für Gefässkrankheiten
https://read.qxmd.com/read/36915301/the-value-of-quantitative-plaque-analysis-based-on-coronary-computed-tomography-angiography-in-predicting-the-percutaneous-coronary-intervention-outcome-of-chronic-total-occlusion-lesions
#36
JOURNAL ARTICLE
Guangzhou Du, Minghui Cao, Zhihui Hou, Zhaoxi Cai, Taihui Yu, Haisheng Zheng, Zhuozhi Dai, Zehong Yang, Jun Shen, Daiying Lin
BACKGROUND: Due to the uncertainty of the success of percutaneous coronary intervention (PCI) and the complexity of selecting suitable treatment cases, the interventional outcome of coronary chronic total occlusion (CTO) remains challenging. The purpose of this study was to evaluate the role of quantitative plaque analysis based on coronary computed tomography angiography (CCTA) in predicting the CTO-PCI outcome. METHODS: We retrospectively included 78 patients with CTO (80 lesions) confirmed by invasive coronary angiography from July 2016 to December 2018...
March 1, 2023: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/36905687/a-systematic-review-of-periprocedural-risk-prediction-scores-in-chronic-total-occlusion-percutaneous-coronary-intervention
#37
REVIEW
Bahadir Simsek, Athanasios Rempakos, Spyridon Kostantinis, Judit Karacsonyi, Bavana V Rangan, Olga C Mastrodemos, Urvi A Patel, Salman Allana, Lorenzo Azzalini, Kathleen E Kearney, Taishi Hirai, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is associated with high incidence of complications. We queried PubMed and the Cochrane Library (last search: October 26, 2022) for CTO PCI-specific periprocedural complication risk scores. We identified 8 CTO PCI-specific risk scores: (1) Angiographic coronary artery perforation (OPEN-CLEAN [Outcomes, Patient Health Status, and Efficiency iN (OPEN) Chronic Total Occlusion (CTO) Hybrid Procedures - CABG, Length (occlusion), EF <50%, Age, CalcificatioN] perforation, c-statistic 0...
April 15, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36792256/crossing-algorithm-for-infrainguinal-chronic-total-occlusions-an-interdisciplinary-expert-opinion-statement
#38
REVIEW
Grigorios Korosoglou, Andrej Schmidt, Michael Lichtenberg, Giovanni Torsello, Gerd Grözinger, Jihad Mustapha, Ramon L Varcoe, Thomas Zeller, Erwin Blessing, Ralf Langhoff
A crossing algorithm was developed for the endovascular treatment of peripheral chronic total occlusive lesions (CTOs) to educate, guide, and appropriately influence clinical practice aiming at harmonization and standardization of endovascular procedures. The following steps are proposed: One, duplex sonography and if required computed tomography or magnetic resonance angiography for the selection of the optimal access site. Two, angiographic evaluation of the proximal/distal cap morphology, presence of collaterals at the origin of the proximal cap and at the distal vessel refilling site...
February 13, 2023: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/36786488/intraplaque-wiring-enables-drug-coated-balloons-to-be-utilized-for-percutaneous-recanalization-of-chronically-occluded-coronary-arteries
#39
JOURNAL ARTICLE
Kazunori Terashita, Yoshihisa Shimada, Yuki Yamanaka, Yoshikazu Motohashi, Daisuke Tonomura, Kazuyasu Yoshitani, Masataka Yoshida, Takao Tsuchida, Hitoshi Fukumoto
OBJECTIVES: This study aimed to determine whether drug-coated balloon (DCB) angioplasty following intraplaque wiring and the use of modified balloons is safe and effective in the percutaneous treatment of coronary chronic total occlusions (CTOs). BACKGROUND: DCB is an alternative therapeutic option without the limitations of permanent vascular implants. However, its efficacy in CTOs has yet to be confirmed. The combination of modified balloons and DCB can be effectively applied when the intraplaque passage of the guidewire is achieved in CTOs...
February 14, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/36549927/sex-differences-in-clinical-profile-and-outcome-after-percutaneous-coronary-intervention-for-chronic-total-occlusion
#40
JOURNAL ARTICLE
Ahmad Shoaib, Vinoda Sharma, James C Spratt, Simon Wilson, Shazia T Hussain, Poonam Velagapudi, Jolanta M Siller-Matula, Muhammad Rashid, Peter Ludman, James Cockburn, Tim Kinnaird, Mamas A Mamas
BACKGROUND: There are limited data around sex differences in the risk profile, treatments and outcomes of percutaneous coronary intervention (PCI) in chronic total occlusion (CTO) lesions in contemporary interventional practice. We investigated the impact of sex on clinical and procedural characteristics, complications and clinical outcomes in a national cohort. METHODS & RESULTS: We created a longitudinal cohort (2006-2018, n = 30,605) of patients with stable angina who underwent CTO PCI in the British Cardiovascular Intervention Society (BCIS) database...
April 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions
keyword
keyword
64126
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.