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

Wu, E.B. ; Tsuchikane, Etsuo and Olivecrona, G.K. LU (2024) In Heart Lung and Circulation 33(7). p.915-931
Abstract
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... (More)
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. © 2024 The Author(s) (Less)
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author
; and
author collaboration
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Chronic total occlusion, Consensus document, Global, Percutaneous coronary intervention, Safety
in
Heart Lung and Circulation
volume
33
issue
7
pages
17 pages
publisher
Elsevier
external identifiers
  • scopus:85195059905
  • pmid:38839467
ISSN
1443-9506
DOI
10.1016/j.hlc.2023.11.030
language
English
LU publication?
yes
id
2aded9b7-b1ec-4800-92e8-9b5ec481fccb
date added to LUP
2024-08-30 10:33:13
date last changed
2024-08-31 03:00:20
@article{2aded9b7-b1ec-4800-92e8-9b5ec481fccb,
  abstract     = {{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. © 2024 The Author(s)}},
  author       = {{Wu, E.B. and Tsuchikane, Etsuo and Olivecrona, G.K.}},
  issn         = {{1443-9506}},
  keywords     = {{Chronic total occlusion; Consensus document; Global; Percutaneous coronary intervention; Safety}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{915--931}},
  publisher    = {{Elsevier}},
  series       = {{Heart Lung and Circulation}},
  title        = {{Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions}},
  url          = {{http://dx.doi.org/10.1016/j.hlc.2023.11.030}},
  doi          = {{10.1016/j.hlc.2023.11.030}},
  volume       = {{33}},
  year         = {{2024}},
}