Current challenges and prevention strategies for chronic total occlusion (CTO) complications

被引：10

作者：

Karacsonyi, Judit ^{[1
,2
]}

Vemmou, Evangelia ^{[1
,2
]}

Nikolakopoulos, Ilias ^{[1
,2
]}

Ungi, Imre ^{[3
,4
]}

Abi Rafeh, Nidal ^{[5
]}

ElGuindy, Ahmed ^{[6
]}

Azzalini, Lorenzo ^{[7
]}

Burke, M. Nicholas ^{[1
,2
]}

Brilakis, Emmanouil S. ^{[1
,2
]}

机构：

[1] Abbott NW Hosp, Minneapolis Heart Inst, Minneapolis, MN 55407 USA

[2] Abbott NW Hosp, Minneapolis Heart Heart Inst Fdn, Minneapolis, MN 55407 USA

[3] Univ Szeged, Dept Internal Med 2, Div Invas Cardiol, Szeged, Hungary

[4] Univ Szeged, Cardiol Ctr, Szeged, Hungary

[5] North Oaks Hlth Syst, Hammond, LA USA

[6] Magdi Yacoub Fdn, Aswan Heart Ctr, Aswan, Egypt

[7] Virginia Commonwealth Univ, VCU Pauley Heart Ctr, Div Cardiol, Richmond, VA USA

来源：

EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2021年 / 19卷 / 04期

关键词：

Complication; percutaneous coronary intervention; chronic total occlusion; management; PERCUTANEOUS CORONARY INTERVENTIONS; OUTCOMES; PERFORATION; RECANALIZATION; MANAGEMENT; SUCCESS; IMPACT;

D O I：

10.1080/14779072.2021.1905521

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) can be challenging, but high success rates (85-90%) are currently achieved at experienced centers with approximately 3% risk for a major periprocedural complication. Areas covered: CTO PCI complications can be categorized according to location such as cardiac and non-cardiac (vascular access complications, thromboembolic complications, contrast-related and radiation injury) complications. Cardiac complications are further subdivided into coronary (acute closure, perforation, and equipment loss or entrapment) and non-coronary (hypotension, myocardial infarction, tamponade, arrhythmias). Expert opinion: In this article, we review strategies to prevent and treat CTO PCI complications. Careful monitoring throughout the case enables prevention and early detection of a complication. If a complication occurs, rapid implementation of treatment using an algorithmic approach can minimize its adverse impact.

引用

页码：337 / 347

页数：11

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