@article{94c360e278d941699d8d1c9d63e3c4ed,
title = "Solving challenging situations and complications in everyday percutaneous coronary intervention using chronic total occlusion techniques",
abstract = "The field of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has witnessed a dramatic evolution in the last decade. The challenging nature of CTO interventions involves regularly dealing with support-related issues, uncrossable/undilatable lesions, manipulation of equipment in the subadventitial (also known as “subintimal”) space, and the treatment of complications such as perforation and equipment loss or entrapment. The CTO experience has provided numerous techniques to the creative operator facing challenges in the non-CTO PCI setting. Herewith, we discuss an armamentarium of techniques routinely used in CTO-PCI, which can also be utilized in interventions for non-occlusive coronary artery disease and have the potential to improve the efficacy and safety of these procedures.",
keywords = "Chronic total occlusion, Complications, Occlusion, Percutaneous coronary intervention, Perforation, Rupture",
author = "Lorenzo Azzalini and Georgios Tzanis and Kambis Mashayekhi and Uretsky, {Barry F.} and Soledad Ojeda and Manuel Pan and Stephane Rinfret and Alexandre Avran and Khaldoon Alaswad and Masahisa Yamane and Dimitri Karmpaliotis and Brilakis, {Emmanouil S.} and Mauro Carlino and Ybarra, {Luiz F.}",
note = "Funding Information: Disclosure: The authors have completed and returned the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Tzanis reports funding from the European Society of Cardiology (ESC) in the form of an ESC training grant. Dr Azzalini reports honoraria from Abbott Vascular, Guerbet, Terumo, and Sahajanand Medical Technologies; research support from ACIST Medical Systems, Guerbet, and Terumo. Dr Mashayekhi reports consulting, speaker, and/or proctoring honoraria from Abbott Vascular, Asahi Intecc, AstraZeneca, Biotronik, Boston Scientific, Cardinal Health, Daiichi Sankyo, Guerbet, Medtronic, SIS Medical, Teleflex, Terumo. Dr Uretsky reports research support from Nitiloop. Dr Rinfret reports consultant honoraria from Boston Scientific, Teleflex, Abbott Vascular, Abiomed, and SoundBite Medical. Dr Avran reports proctoring income from Boston Scientific, Abbott Vascular, Terumo, Biotronik, and Biosensors. Dr Alaswad reports consulting honoraria from Cardiovascular Systems, Abbott Vascular, Boston Scientific, and LevaNova. Dr Karmpaliotis reports honoraria from Abbott Vascular, Boston Scientific, and Medtronic. Dr Brilakis reports consulting/speaker honoraria from Abbott Vascular, American Heart Association (associate editor, Circulation), Biotronik, Boston Scientific, Cardiovascular Innovations Foundation (Board of Directors), CSI, Elsevier, InfraRedx, GE Healthcare, Siemens, Teleflex, and Medtronic; research support from Siemens, Regeneron, and Osprey; shareholder in MHI Ventures. The remaining Publisher Copyright: {\textcopyright} 2020 HMP Communications. All rights reserved.",
year = "2020",
language = "English (US)",
volume = "33",
pages = "E63--E72",
journal = "Journal of Invasive Cardiology",
issn = "1042-3931",
publisher = "HMP Communications",
number = "3",
}