When, why, and how to fix common problems encountered in chronic total occlusion percutaneous coronary intervention: The expanded hybrid approach

Robert F. Riley, James Sapontis, Steven P. Marso, William L. Lombardi, J. Aaron Grantham

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Improved equipment, development, and dissemination of novel recanalization practices and the clinical importance of complete coronary revascularization have led to a renewed interest in coronary chronic total occlusion (CTO) percutaneous coronary intervention (PCI) over the past decade. In particular, utilization of various permutations of the hybrid algorithm has been associated with increasing procedural success rates at higher-volume centers. However, several common technical challenges remain using the chronic total occlusion algorithm for even the most advanced operator. In this chapter, we present an updated, comprehensive review of solutions to common problems encountered during CTO PCI, including consensus hierarchical approaches to employing these solutions.

Original languageEnglish (US)
Title of host publicationPercutaneous Coronary Intervention for Chronic Total Occlusion
Subtitle of host publicationThe Hybrid Approach
PublisherSpringer International Publishing
Pages233-247
Number of pages15
ISBN (Electronic)9783031054372
ISBN (Print)9783031054365
DOIs
StatePublished - Nov 23 2022
Externally publishedYes

Keywords

  • Algorithm
  • Chronic total occlusion
  • Percutaneous coronary intervention
  • Troubleshooting

ASJC Scopus subject areas

  • General Medicine
  • General Biochemistry, Genetics and Molecular Biology

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