Acute coronary complications in chronic total occlusion interventions

Author:

Leone Pier Pasquale123,Calò Leonardo4,Donahue Michael4,Gasparini Gabriele2

Affiliation:

1. Department of Biomedical Sciences, Humanitas University , Via Rita Levi Montalcini, 4, 20072 Pieve Emanuele-Milan , Italy

2. Cardio Center, IRCCS Humanitas Research Hospital , Via Alessandro Manzoni, 56, 20089 Rozzano-Milan , Italy

3. Division of Cardiology, Montefiore Medical Center , 111 E 210th St, The Bronx, NY 10467 , USA

4. Department of Cardiology, Policlinico Casilino , Via Casilina, 1049, 00169 Rome , Italy

Abstract

Abstract Chronic total occlusion (CTO) interventions are among the most complex procedures within the panorama of percutaneous coronary intervention (PCI). Awareness of potential complications, adequate procedural planning in order to avoid them, and prompt recognition and management should any occur are at the cornerstone of a successful CTO programme. Complications can be acute or late after the procedure and can be cardiac or non-cardiac. Acute cardiac complications can occur directly at the coronary artery level or can have other strictly non-coronary manifestations, such as hypotension, myocardial infarction, arrhythmias, or tamponade. In this review, we focus on acute coronary complications of CTO PCI, in particular their causes, prevention, and management strategies.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

Reference19 articles.

1. Procedural outcomes of chronic total occlusion percutaneous coronary intervention: a report from the NCDR (National Cardiovascular Data Registry);Brilakis;JACC Cardiovasc Interv,2015

2. Coronary artery perforation during chronic total occlusion percutaneous coronary intervention: epidemiology, mechanisms, management, and outcomes;Azzalini;EuroIntervention,2019

3. Recanalization strategy of retrograde angioplasty in patients with coronary chronic total occlusion—analysis of 24 cases, focusing on technical aspects and complications;Lee;Int J Cardiol,2010

4. Dual guide catheter technique for treating native coronary artery lesions through tortuous internal mammary grafts: separating equipment delivery from target lesion visualization;Lichtenwalter;J Invasive Cardiol,2010

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