An Interventional Odyssey: The Importance of Planning and Prompt Recognition and Treatment of Complications During a Complex Chronic Total Occlusion Intervention

Tarek Chami; Scott Janus; Madeline K. Mahowald; Emmanouil S. Brilakis

doi:10.1016/j.carrev.2022.04.018

An Interventional Odyssey: The Importance of Planning and Prompt Recognition and Treatment of Complications During a Complex Chronic Total Occlusion Intervention

Tarek Chami, Scott Janus, Madeline K. Mahowald, Emmanouil S. Brilakis

Research output: Contribution to journal › Article › peer-review

Abstract

Despite significant progress, chronic total occlusion (CTO) percutaneous coronary interventions (PCI) are often challenging and carry increased risk of complications. We present a highly complex CTO PCI case that was successfully completed despite numerous complications (perforation, donor vessel closure, stent loss, guide extension tip fracture, access site bleeding and cardiac arrest) to highlight the importance of appropriate patient selection, pre-procedural planning, comprehensive patient-centered risk/benefit discussion, and prompt recognition and treatment of intra-procedural complications.

Original language	English (US)
Pages (from-to)	S298-S301
Journal	Cardiovascular Revascularization Medicine
Volume	53
DOIs	https://doi.org/10.1016/j.carrev.2022.04.018
State	Published - Aug 2023
Externally published	Yes

Keywords

Complication
Percutaneous coronary intervention
Peripheral vascular disease

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.carrev.2022.04.018

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title = "An Interventional Odyssey: The Importance of Planning and Prompt Recognition and Treatment of Complications During a Complex Chronic Total Occlusion Intervention",

abstract = "Despite significant progress, chronic total occlusion (CTO) percutaneous coronary interventions (PCI) are often challenging and carry increased risk of complications. We present a highly complex CTO PCI case that was successfully completed despite numerous complications (perforation, donor vessel closure, stent loss, guide extension tip fracture, access site bleeding and cardiac arrest) to highlight the importance of appropriate patient selection, pre-procedural planning, comprehensive patient-centered risk/benefit discussion, and prompt recognition and treatment of intra-procedural complications.",

keywords = "Complication, Percutaneous coronary intervention, Peripheral vascular disease",

author = "Tarek Chami and Scott Janus and Mahowald, {Madeline K.} and Brilakis, {Emmanouil S.}",

note = "Publisher Copyright: {\textcopyright} 2022 Elsevier Inc.",

year = "2023",

month = aug,

doi = "10.1016/j.carrev.2022.04.018",

language = "English (US)",

volume = "53",

pages = "S298--S301",

journal = "Cardiovascular Revascularization Medicine",

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T1 - An Interventional Odyssey

T2 - The Importance of Planning and Prompt Recognition and Treatment of Complications During a Complex Chronic Total Occlusion Intervention

AU - Chami, Tarek

AU - Janus, Scott

AU - Mahowald, Madeline K.

AU - Brilakis, Emmanouil S.

PY - 2023/8

Y1 - 2023/8

N2 - Despite significant progress, chronic total occlusion (CTO) percutaneous coronary interventions (PCI) are often challenging and carry increased risk of complications. We present a highly complex CTO PCI case that was successfully completed despite numerous complications (perforation, donor vessel closure, stent loss, guide extension tip fracture, access site bleeding and cardiac arrest) to highlight the importance of appropriate patient selection, pre-procedural planning, comprehensive patient-centered risk/benefit discussion, and prompt recognition and treatment of intra-procedural complications.

AB - Despite significant progress, chronic total occlusion (CTO) percutaneous coronary interventions (PCI) are often challenging and carry increased risk of complications. We present a highly complex CTO PCI case that was successfully completed despite numerous complications (perforation, donor vessel closure, stent loss, guide extension tip fracture, access site bleeding and cardiac arrest) to highlight the importance of appropriate patient selection, pre-procedural planning, comprehensive patient-centered risk/benefit discussion, and prompt recognition and treatment of intra-procedural complications.

KW - Complication

KW - Percutaneous coronary intervention

KW - Peripheral vascular disease

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VL - 53

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JO - Cardiovascular Revascularization Medicine

JF - Cardiovascular Revascularization Medicine

ER -

An Interventional Odyssey: The Importance of Planning and Prompt Recognition and Treatment of Complications During a Complex Chronic Total Occlusion Intervention

Abstract

Keywords

ASJC Scopus subject areas

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