The Impact of Calcium on Chronic Total Occlusion Management-Reference-Cited by-同舟云学术

The Impact of Calcium on Chronic Total Occlusion Management

Published:2021-10-20 Issue: Volume:16 Page:
ISSN:1756-1485
Container-title:Interventional Cardiology: Reviews, Research, Resources
language:en
Short-container-title:Interv Cardiol

Author:

Cosgrove Claudia¹^ORCID,Mahadevan Kalaivani²^ORCID,Spratt James C¹^ORCID,McEntegart Margaret³^ORCID

Affiliation:

1. St George’s University Hospitals NHS Foundation Trust, London, UK

2. Bristol Heart Institute, Bristol, UK

3. Golden Jubilee National Hospital, Glasgow, UK

Abstract

Coronary artery calcification is prevalent in chronic total occlusions (CTO), particularly in those of longer duration and post-coronary artery bypass. The presence of calcium predicts lower procedural success rates and a higher risk of complications of CTO percutaneous coronary intervention. Adjunctive imaging, including pre-procedural computed tomography and intracoronary imaging, are useful to understand the distribution and morphology of the calcium. Specialised guidewires and microcatheters, as well as penetration, subintimal entry and luminal re-entry techniques, are required to cross calcific CTOs. The use of both atherectomy devices and balloon-based calcium modification tools has been reported during CTO percutaneous coronary intervention, although they are limited by concerns regarding safety and efficacy in the subintimal space.

Publisher

Radcliffe Group Ltd

Subject

Cardiology and Cardiovascular Medicine

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