Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention. A Global Expert Consensus Document

Autor: Etsuo Tsuchikane, Christopher E. Buller, Pravin K. Goel, A. V.Ganesh Kumar, Elliot J. Smith, Ricardo Santiago, William Lombardi, Risto Jussila, Leszek Bryniarski, Mauro Carlino, Muhammad Munawar, Thierry Lefèvre, Jonathan Hill, David E. Kandzari, Gregg W. Stone, Dimitri Karmpaliotis, Arun Kalyanasundaram, Ran Kornowski, Yangsoo Jang, Nicolas Boudou, Yue Li, Khaldoon Alaswad, Masahisa Yamane, Mohaned Egred, William J. Nicholson, Jason R Wollmuth, Colm G. Hanratty, Margaret McEntegart, Khalid Tammam, Scott A. Harding, James C. Spratt, Qi Zhang, Peep Laanmets, Hsien Li Kao, Tony De Martini, Julian Strange, Evald Høj Christiansen, Heinz Joachim Büttner, Simon J Walsh, Lorenzo Azzalini, Sidney Lo, Robert W. Yeh, Javier Escaned, Hussien Heshmat Kassem, Stefan Harb, Marouane Boukhris, José A. Navarro Lecaro, Alexandre Avran, Pablo Lamelas, Hung M. Ngo, Ahmed ElGuindy, Baktash Bayani, Antonio Colombo, Omer Goktekin, Gerald S. Werner, Nidal Abi Rafeh, José P.S. Henriques, Joseph Dens, Alexandre Schaan de Quadros, Soo Teik Lim, Carlo Di Mario, Franklin Hanna Quesada, Roberto Garbo, Minh Vo, Bo Xu, Mario Araya, Kefei Dou, George Sianos, Ravinay Bhindi, Emmanouil S. Brilakis, J. Aaron Grantham, Göran K. Olivecrona, Pedro Cardoso, Marin Postu, Oleg Krestyaninov, Avtandil M. Babunashvili, Meruzhan Saghatelyan, Vu Hoang Vu, Nicolaus Reifart, Imre Ungi, R. Michael Wyman, M. Nicholas Burke, Luiz F. Ybarra, Vithala Surya Prakasa Rao, Farouc A. Jaffer, Alexander Bufe, Junbo Ge, Kambis Mashayekhi, Artis Kalnins, Andrea Gagnor, Alfredo R. Galassi, Nenad Božinović, Félix Damas de los Santos, Seung-Whan Lee, Lucio Padilla, Stéphane Rinfret, Paul Knaapen, Kevin Croce, Sergey Furkalo, Eugene B. Wu, Luca Grancini
Přispěvatelé: Brilakis E.S., Mashayekhi K., Tsuchikane E., Abi Rafeh N., Alaswad K., Araya M., Avran A., Azzalini L., Babunashvili A.M., Bayani B., Bhindi R., Boudou N., Boukhris M., Bozinovic N.Z., Bryniarski L., Bufe A., Buller C.E., Burke M.N., Buttner H.J., Cardoso P., Carlino M., Christiansen E.H., Colombo A., Croce K., Damas De Los Santos F., De Martini T., Dens J., DI Mario C., Dou K., Egred M., Elguindy A.M., Escaned J., Furkalo S., Gagnor A., Galassi A.R., Garbo R., Ge J., Goel P.K., Goktekin O., Grancini L., Grantham J.A., Hanratty C., Harb S., Harding S.A., Henriques J.P.S., Hill J.M., Jaffer F.A., Jang Y., Jussila R., Kalnins A., Kalyanasundaram A., Kandzari D.E., Kao H.-L., Karmpaliotis D., Kassem H.H., Knaapen P., Kornowski R., Krestyaninov O., Kumar A.V.G., Laanmets P., Lamelas P., Lee S.-W., Lefevre T., Li Y., Lim S.-T., Lo S., Lombardi W., McEntegart M., Munawar M., Navarro Lecaro J.A., Ngo H.M., Nicholson W., Olivecrona G.K., Padilla L., Postu M., Quadros A., Quesada F.H., Prakasa Rao V.S., Reifart N., Saghatelyan M., Santiago R., Sianos G., Smith E., Spratt J.C., Stone G.W., Strange J.W., Tammam K., Ungi I., Vo M., Vu V.H., Walsh S., Werner G.S., Wollmuth J.R., Wu E.B., Wyman R.M., Xu B., Yamane M., Ybarra L.F., Yeh R.W., Zhang Q., Rinfret S., Repositório da Universidade de Lisboa
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Brilakis, E S, Mashayekhi, K, Tsuchikane, E, Abi Rafeh, N, Alaswad, K, Araya, M, Avran, A, Azzalini, L, Babunashvili, A M, Bayani, B, Bhindi, R, Boudou, N, Boukhris, M, Božinović, N Ž, Bryniarski, L, Bufe, A, Buller, C E, Burke, M N, Büttner, H J, Cardoso, P, Carlino, M, Christiansen, E H, Colombo, A, Croce, K, Damas de Los Santos, F, de Martini, T, Dens, J, di Mario, C, Dou, K, Egred, M, ElGuindy, A M, Escaned, J, Furkalo, S, Gagnor, A, Galassi, A R, Garbo, R, Ge, J, Goel, P K, Goktekin, O, Grancini, L, Grantham, J A, Hanratty, C, Harb, S, Harding, S A, Henriques, J P S, Hill, J M, Jaffer, F A, Jang, Y, Jussila, R, Kalnins, A, Kalyanasundaram, A, Kandzari, D E, Kao, H-L, Karmpaliotis, D, Kassem, H H, Knaapen, P, Kornowski, R, Krestyaninov, O, Kumar, A V G, Laanmets, P, Lamelas, P, Lee, S-W, Lefevre, T, Li, Y, Lim, S-T, Lo, S, Lombardi, W, McEntegart, M, Munawar, M, Navarro Lecaro, J A, Ngo, H M, Nicholson, W, Olivecrona, G R K, Padilla, L, Postu, M, Quadros, A, Quesada, F H, Prakasa Rao, V S, Reifart, N, Saghatelyan, M, Santiago, R, Sianos, G, Smith, E, C Spratt, J, Stone, G W, Strange, J W, Tammam, K, Ungi, I, Vo, M, Vu, V H, Walsh, S, Werner, G S, Wollmuth, J R, Wu, E B, Wyman, R M, Xu, B, Yamane, M, Ybarra, L F, Yeh, R W, Zhang, Q & Rinfret, S 2019, ' Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention : A Global Expert Consensus Document ', Circulation, vol. 140, no. 5, pp. 420-433 . https://doi.org/10.1161/CIRCULATIONAHA.119.039797
Brilakis, E S, Mashayekhi, K, Tsuchikane, E, Rafeh, N A, Alaswad, K, Araya, M, Avran, A, Azzalini, L, Babunashvili, A M, Bayani, B, Bhindi, R, Boudou, N, Boukhris, M, Bozinovic, N Z, Bryniarski, L, Bufe, A, Buller, C E, Burke, N, Buettner, H J, Cardoso, P, Carlino, M, Christiansen, E H, Colombo, A, Croce, K, Damas de los Santos, F, De Martini, T, Dens, J, Di Mario, C, Dou, K, Egred, M, ElGuindy, A M, Escaned, J, Furkalo, S, Gagnor, A, Galassi, A R, Garbo, R, Ge, J, Goel, P K, Goktekin, O, Grancini, L, Grantham, J A, Hanratty, C, Harb, S, Harding, S A, Henriques, J P S, Hill, J M, Jaffer, F A, Jang, Y, Jussila, R, Kalnins, A, Kalyanasundaram, A, Kandzari, D E, Kao, H-L, Karmpaliotis, D, Kassem, H H, Knaapen, P, Kornowski, R, Krestyaninov, O, Kumar, A V G, Laanmets, P, Lamelas, P, Lee, S-W, Lefevre, T, Li, Y, Lim, S-T, Lo, S, Lombardi, W, McEntegart, M, Munawar, M, Navarro Lecaro, J A, Ngo, H M, Nicholson, W, Olivecrona, G K, Padilla, L, Postu, M, Quadros, A, Hanna Quesada, F, Rao, V S P, Reifart, N, Saghatelyan, M, Santiago, R, Sianos, G, Smith, E, Spratt, J C, Stone, G W, Strange, J W, Tammam, K, Ungi, I, Vo, M, Vu Hoang Vu, C, Walsh, S, Werner, G S, Wolimuth, J R, Wu, E B, Wyman, R M, Xu, B, Yamane, M, Ybarra, L F, Yeh, R W, Zhang, Q & Rinfret, S 2019, ' Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention A Global Expert Consensus Document ', Circulation, vol. 140, no. 5, pp. 420-433 . https://doi.org/10.1161/CIRCULATIONAHA.119.039797
Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
instacron:RCAAP
DOI: 10.1161/CIRCULATIONAHA.119.039797
Popis: © American Heart Association, Inc.
Outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have improved because of advancements in equipment and techniques. With global collaboration and knowledge sharing, we have identified 7 common principles that are widely accepted as best practices for CTO-PCI. 1. Ischemic symptom improvement is the primary indication for CTO-PCI. 2. Dual coronary angiography and in-depth and structured review of the angiogram (and, if available, coronary computed tomography angiography) are key for planning and safely performing CTO-PCI. 3. Use of a microcatheter is essential for optimal guidewire manipulation and exchanges. 4. Antegrade wiring, antegrade dissection and reentry, and the retrograde approach are all complementary and necessary crossing strategies. Antegrade wiring is the most common initial technique, whereas retrograde and antegrade dissection and reentry are often required for more complex CTOs. 5. If the initially selected crossing strategy fails, efficient change to an alternative crossing technique increases the likelihood of eventual PCI success, shortens procedure time, and lowers radiation and contrast use. 6. Specific CTO-PCI expertise and volume and the availability of specialized equipment will increase the likelihood of crossing success and facilitate prevention and management of complications, such as perforation. 7. Meticulous attention to lesion preparation and stenting technique, often requiring intracoronary imaging, is required to ensure optimum stent expansion and minimize the risk of short- and long-term adverse events. These principles have been widely adopted by experienced CTO-PCI operators and centers currently achieving high success and acceptable complication rates. Outcomes are less optimal at less experienced centers, highlighting the need for broader adoption of the aforementioned 7 guiding principles along with the development of additional simple and safe CTO crossing and revascularization strategies through ongoing research, education, and training.
Databáze: OpenAIRE
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