Prevalence and Outcomes of Percutaneous Coronary Interventions for Ostial Chronic Total Occlusions: Insights From a Multicenter Chronic Total Occlusion Registry

Tajti, Péter; Burke, M. Nicholas; Karmpaliotis, Dimitri; Alaswad, Khaldoon; Jaffer, Farouc A.; Yeh, Robert W.; Patel, Mitul; Mahmud, Ehtisham; Choi, James W.; Doing, Anthony; Datilo, Phil; Toma, Catalin; Smith, A.J. Conrad; Uretsky, Barry F.; Holper, Elizabeth M.; García, Santiago; Krestyaninov, Oleg; Khelimskii, Dmitrii; Koutouzis, Michalis; Tsiafoutis, Ioannis; Moses, Jeffrey W.; Lembo, Nicholas; Parikh, Manish; Kirtane, Ajay J.; Ali, Ziad A.; Doshi, Darshan; Samady, Habib; Rangan, Bavana V.; Xenogiannis, Iosif; Ungi, Imre; Banerjee, Subhash; Brilakis, Emmanouil S.

doi:10.1016/j.cjca.2018.07.472

Cited by 15 publications

(8 citation statements)

References 24 publications

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“…Abrupt donor vessel injury represent a feared and unique complication occurring during retrograde CTO PCI. Its estimated incidence is 1.1%-1.8% [16] . Leading mechanism of donor vessel injury are dissection (most common), thrombus formation/embolization, spasm or accidental air injection.…”

Section: Donor Vessel Injury (Dissection And/or Occlusion)mentioning

confidence: 99%

Chronic total occlusion percutaneous coronary intervention complications: prevention and management

Colombo¹,

Bernardi²,

Garbo³

2019

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Percutaneous coronary intervention (PCI) of coronary chronic total occlusions (CTO) still represents a challenge in the field of interventional cardiology. Despite the rate of peri-procedural complications has decreased over the years, it remains higher than in non-CTO PCI. Coronary perforations are among the most common and serious complications. Furthermore CTO recanalization carries a risk of unique and specific complications such as donor vessel injury and equipment loss or entrapment. Other infrequent complications of non-CTO PCI such as contrast induced renal dysfunction and radiation skin injury, assume more relevance in this subset given the length and complexity of these procedures. Operators facing CTO percutaneous treatment should be aware of the potential complications and the available strategies for prevention and management, to achieve procedural success.

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Section: Donor Vessel Injury (Dissection And/or Occlusion)mentioning

confidence: 99%

Chronic total occlusion percutaneous coronary intervention complications: prevention and management

Colombo¹,

Bernardi²,

Garbo³

2019

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“…The study by Tajti et al 9 provides novel and interesting data that will enrich the CTO enthusiast, and opens the door to subsequent research on this previously neglected topic. Ostial CTO PCI now looks a bit less hostile than it used to be.…”

mentioning

confidence: 94%

“…Like other well-conducted studies, the research by Tajti et al 9 raises more questions than it answers. What is the role of dual-lumen microcatheters in state-of-the-art PCI involving side-branch ostial occlusions?…”

mentioning

confidence: 94%

“…In this issue of the Canadian Journal of Cardiology, Tajti et al 9 reported on the outcomes of ostial vs nonostial CTO PCI using their large multicentre CTO registry (n ¼ 1000). Ostial CTOs were observed in 16.9% and were classified as aorto-ostial (9.6%) and side-branch ostial (7.3%) occlusions.…”

mentioning

confidence: 99%

“…The study by Tajti et al 9 brings to bear new data on a specific issue that had received little prior evaluation. Its strengths include a large sample size and multicentre design, making it representative of the clinical practice of an important number of operators from the United States, Europe, and Russia.…”

mentioning

confidence: 99%

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