Current challenges and prevention strategies for chronic total occlusion (CTO) complications
In: Expert review of cardiovascular therapy, Jg. 19 (2021-03-18), Heft 4
Online
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Zugriff:
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.
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Current challenges and prevention strategies for chronic total occlusion (CTO) complications
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Autor/in / Beteiligte Person: | Azzalini, Lorenzo ; Karacsonyi, Judit ; ElGuindy, Ahmed ; Vemmou, Evangelia ; Ungi, Imre ; M. Nicholas Burke ; Nikolakopoulos, Ilias ; Brilakis, Emmanouil S. ; Nidal Abi Rafeh |
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Zeitschrift: | Expert review of cardiovascular therapy, Jg. 19 (2021-03-18), Heft 4 |
Veröffentlichung: | 2021 |
Medientyp: | unknown |
ISSN: | 1744-8344 (print) |
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