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Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

Lookup NU author(s): Dr MOHANED Egred

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Abstract

© 2024 The Author(s). Safety is of critical importance to chronic total occlusion (CTO) percutaneous coronary intervention (PCI). This global consensus statement provides guidance on how to optimise the safety of CTO) PCI, addressing the following 12 areas: 1. Set-up for safe CTO PCI; 2. Guide catheter-–associated vessel injuries; 3. Hydraulic dissection, extraplaque haematoma expansion, and aortic dissections; 4. Haemodynamic collapse during CTO PCI; 5. Side branch occlusion; 6. Perforations; 7. Equipment entrapment; 8. Vascular access considerations; 9. Contrast-induced acute kidney injury; 10. Radiation injury; 11 When to stop; and, 12. Proctorship. This statement complements the global CTO crossing algorithm; by advising how to prevent and deal with complications, this statement aims to facilitate clinical practice, research, and education relating to CTO PCI.

Publication metadata

Author(s): Wu EB, Kalyanasundaram A, Brilakis ES, Mashayekhi K, Tsuchikane E, the CTO Global Consensus Group

Publication type: Article

Publication status: Published

Journal: Heart Lung and Circulation

Year: 2024

Volume: 33

Issue: 7

Pages: 915-931

Print publication date: 01/07/2024

Online publication date: 04/06/2024

Acceptance date: 06/11/2023

Date deposited: 19/06/2024

ISSN (print): 1443-9506

ISSN (electronic): 1444-2892

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.hlc.2023.11.030

DOI: 10.1016/j.hlc.2023.11.030

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