Vascular Access in Percutaneous Coronary Intervention of Chronic Total Occlusions: A State-of-the-Art Review

Author:

Meijers Thomas A.1ORCID,Aminian Adel2ORCID,Valgimigli Marco3ORCID,Dens Joseph4,Agostoni Pierfrancesco5ORCID,Iglesias Juan F.6ORCID,Gasparini Gabriele L.7,Seto Arnold H.8ORCID,Saito Shigeru9ORCID,Rao Sunil V.10ORCID,van Royen Niels11ORCID,Brilakis Emmanouil S.12ORCID,van Leeuwen Maarten A.H.1ORCID

Affiliation:

1. Department of Cardiology, Isala Heart Center, Zwolle, the Netherlands (T.A.M., M.A.H.v.L.).

2. Department of Cardiology, Centre Hospitalier Universitaire de Charleroi, Belgium (A.A.).

3. Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Università della Svizzera Italiana, Lugano, Switzerland (M.V.).

4. Department of Cardiology, Hospital Oost-Limburg, Genk, Belgium (J.D.).

5. HartCentrum, Ziekenhuis Netwerk Antwerpen Middelheim, Antwerp, Belgium (P.A.).

6. Department of Cardiology, Geneva University Hospital, Switzerland (J.F.I.).

7. Department of Cardiology, Humanitas Clinical and Research Center, Milan, Italy (G.L.G.).

8. Department of Cardiology, Veterans Affairs, Washington, DC (A.H.S.).

9. Department of Cardiology, Shonan Kamakura General Hospital, Kanagawa, Japan (S.S.).

10. Department of Cardiology, New York University Langone Health System (S.V.R.).

11. Department of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands (N.v.R.).

12. Allina Health Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, MN (E.S.B.).

Abstract

The outcomes of chronic total occlusion percutaneous coronary intervention have considerably improved during the last decade with continued emphasis on improving procedural safety. Vascular access site bleeding remains one of the most frequent complications. Several procedural strategies have been implemented to reduce the rate of vascular access site complications. This state-of-the-art review summarizes and describes the current evidence on optimal vascular access strategies for chronic total occlusion percutaneous coronary intervention.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cardiology and Cardiovascular Medicine

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