Utility of Guiding Catheter Extensions for Recanalization of Chronic Total Occlusions A EuroCTO Club Expert Panel Report

被引：2

作者：

Garbo, Roberto ^{[1
]}

Iannaccone, Mario ^{[2
,15
]}

Werner, Gerald S. ^{[3
]}

Mashayekhi, Kambis ^{[4
]}

Boudou, Nicolas ^{[5
]}

Bufe, Alexander ^{[6
]}

Agostoni, Pierfrancesco ^{[7
]}

Avran, Alexandre ^{[8
]}

Gagnor, Andrea ^{[9
]}

Gasparini, Gabriele ^{[10
]}

Gorgulu, Sevket ^{[11
]}

Galassi, Alfredo R. ^{[12
]}

Sianos, Georgios ^{[13
]}

di Mario, Carlo ^{[14
]}

机构：

[1] GVM Care & Res, Maria Pia Hosp, Turin, Italy

[2] ASL Citta Torino, San Giovanni Bosco Hosp, Turin, Italy

[3] Klinikum Darmstadt, Darmstadt, Germany

[4] HeartCtr Lahr, Dept Internal Med & Cardiol, Lahr, Germany

[5] Clin St Augustin, Bordeaux, France

[6] Univ Witten Herdecke, Helios Klinikum Krefeld, Witten, Germany

[7] ZNA Ziekenhuis Netwerk Antwerpen, HartCentrum, Antwerp, Belgium

[8] Ctr Hosp Valenciennes, Valenciennes, France

[9] ASL Citta Torino, Maria Vittoria Hosp, Turin, Italy

[10] Human Res Hosp, Milan, Italy

[11] Biruni Univ, Med Fac, Istanbul, Turkiye

[12] Univ Palermo, Palermo, Italy

[13] Al Qassimi Hosp, Sharjah, U Arab Emirates

[14] Univ Hosp Careggi, Struct Intervent Cardiol, Florence, Italy

[15] ASL Citta Torino, SG Bosco Hosp, Cardiol Div, I-10126 Turin, Italy

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2023年 / 16卷 / 15期

关键词：

chronic total occlusion; CTO; GCE; guiding catheter extensions; PCI; percutaneous coronary intervention; INTRAVASCULAR ULTRASOUND; CORONARY INTERVENTIONS; CHILD CATHETER; GUIDELINER; SUCCESS; LINER; TOOL;

D O I：

10.1016/j.jcin.2023.05.019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. We describe the peculiar features of the most-used device and the practical technique for GCE delivery in standard PCI; further specific indications for antegrade and retrograde CTO PCI are discussed in a specific section. In the antegrade approach, the GCEs may be useful to increase support or facilitate antegrade dissection and re-entry techniques, while in the retrograde approach for reverse controlled antegrade and retrograde tracking, to increase retrograde support for gear delivery, for treatment of CTO in bifurcation and ipsilateral externalization with a single guide catheter. The last section of the paper describes GCE-related complications, challenges, limitations, and future perspectives. (J Am Coll Cardiol Intv 2023;16:1833-1844) & COPY; 2023 by the American College of Cardiology Foundation.

引用

页码：1833 / 1844

页数：12

共 26 条

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