Chronic Total Occlusion Percutaneous Coronary Intervention in Everyday Clinical Practice - an Expert Opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society

Overview

Journal Postepy Kardiol Interwencyjnej

Publisher Termedia

Specialty Cardiology & Vascular Diseases

Date 2021 Apr 19

PMID 33868413

Citations 1

Authors

Leszek Bryniarski

Maksymilian P Opolski

Jaroslaw Wojcik

Maciej Lesiak

Tomasz Pawlowski

Jakub Drozd

Wojciech Wojakowski

Slawomir Surowiec

Maciej Dabrowski

Adam Witkowski

Dariusz Dudek

Marek Grygier

Stanislaw Bartus

Affiliations

Soon will be listed here.

Abstract

Coronary chronic total occlusions (CTO) are increasingly encountered during invasive and non-invasive coronary angiography and remain the most challenging lesions for percutaneous revascularization. During recent years success rates and safety outcomes of CTO percutaneous coronary intervention (PCI) have substantially improved, particularly due to the introduction of new techniques and dedicated equipment as well as specialized training programs of CTO operators. Significantly, the steady advances in CTO PCI techniques have coincided with the new data from randomized clinical trials supporting the role of percutaneous recanalization of CTO in relieving angina and improving the quality of life. The current expert consensus document outlines the rationale, clinical outcomes as well as technical, safety and reimbursement issues of CTO PCI. In addition, the requirements for achieving and maintaining competency in CTO PCI among interventional cardiologists are discussed. Finally, we present the modified hybrid algorithm (the so-called Polish hybrid algorithm) providing some unique refinements to the contemporary CTO PCI strategies. Continuous efforts (including active engagement with the payer) are urgently needed to increase guideline-recommended referrals to CTO PCI, and thus improve the quality of life of CTO patients in Poland.

Citing Articles

Single versus Dual-Operator Approaches for Percutaneous Coronary Interventions within Chronic Total Occlusion-An Analysis of 27,788 Patients.

Januszek R, De Luca G, Silka W, Bryniarski L, Malinowski K, Surdacki A J Clin Med. 2023; 12(14).

PMID: 37510798 PMC: 10380720. DOI: 10.3390/jcm12144684.

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