Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

Eugene B. Wu; Arun Kalyanasundaram; Emmanouil S. Brilakis; Kambis Mashayekhi; Etsuo Tsuchikane; Nidal Abi Rafeh; Pierfrancesco Agostoni; Khaldoon Alaswad; Mario Araya; Alexandre Avran; Mohamed Ayoub; Lorenzo Azzalini; Avtandil M. Babunashvili; Baktash Bayani; Michael Behnes; Ravinay Bhindi; Nicolas Boudou; Marouane Boukhris; Nenad Z. Bozinovic; Leszek Bryniarski; Alexander Bufe; Christopher E. Buller; M. Nicholas Burke; Heinz Joachim Buettner; Pedro Cardoso; Mauro Carlino; Chi-Kin Chan; Jiyan Chen; Evald Hoej Christiansen; Antonio Colombo; Kevin Croce; Felix Damas de los Santos; Tony de Martini; Joseph Dens; Carlo di Mario; Darshan Doshi; Kefei Dou; Mohaned Egred; Basem Elbarouni; Ahmed M. ElGuindy; Javier Escaned; Sergey Furkalo; Andrea Gagnor; Alfredo R. Galassi; Roberto Garbo; Gabriele l.Gasparini; Junbo Ge; Lei Ge; Pravin Kumar Goel; Omer Goktekin; Nieves Gonzalo; Sevket Gorgulu; Luca Grancini; Allison B. Hall; Colm Hanratty; Stefan Harb; Scott A. Harding; Raja Hatem; Farrel Hellig; Jose P. S. Henriques; David Hildick-Smith; Jonathan M. Hill; Angela Hoye; Wissam Jaber; Farouc A. Jaffer; Yangsoo Jang; Risto Jussila; Artis Kalnins; Sanjog Kalra; David E. Kandzari; Hsien-Li Kao; Dimitri Karmpaliotis; Hussien Heshmat Kassem; Kathleen E. Kearney; Jimmy Kerrigan; Jaikirshan Khatri; Dmitri Khelimskii; Ajay J. Kirtane; Paul Knaapen; Ran Kornowski; Oleg Krestyaninov; V. Ganesh Kumar; Prathap Kumar; Pablo Manuel Lamelas; Seung-Whan Lee; Thierry Lefevre; Gregor Leibundgut; Raymond Leung; Sum-Kin Leung; Yu Li; Yue Li; Soo-Teik Lim; Sidney Lo; William Lombardi; Anbukarasi Maran; Margaret McEntegart; Jeffrey Moses; Muhammad Munawar; Wataru Nagamatsu; Andres Navarro; Hung M. Ngo; William Nicholson; Anja Oksnes; Goran K. Olivecrona; Lucio Padilla; Mitul Patel; Ashish Pershad; Marin Postu; Stylianos Pyxaras; Jie Qian; Alexandre Quadros; Franklin Leonardo Hanna Quesada; Truls Råmunddal; Vithala Suryaprakasa Rao; Sudhir Rathore; Nicolaus Reifart; Robert F. Riley; Stephane Rinfret; Meruzhan Saghatelyan; Ricardo Santiago; Ashok Seth; Georgios Sianos; Elliot Smith; Anthony Spaedy; James Spratt; Gregg W. Stone; Julian W. Strange; Khalid O. Tammam; Craig A. Thompson; Aurel Toma; Jennifer A. Tremmel; Imre Ungi; Giuseppe Vadalà; Minh Vo; Vu Hoang Vu; Simon Walsh; Daniel Weilenmann; Gerald S. Werner; Jaroslaw Wojcik; Jason Wollmuth; Chiung-Jen Wu; Bo Xu; Masahisa Yamane; Luiz F. Ybarra; Robert W. Yeh; Chris Zambakides; Qi Zhang

doi:10.1016/j.hlc.2023.11.030

Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

Eugene B. Wu^*
, Arun Kalyanasundaram
, Emmanouil S. Brilakis
, Kambis Mashayekhi
, Etsuo Tsuchikane
, Nidal Abi Rafeh
, Pierfrancesco Agostoni
, Khaldoon Alaswad
, Mario Araya
, Alexandre Avran
, Mohamed Ayoub
, Lorenzo Azzalini
, Avtandil M. Babunashvili
, Baktash Bayani
, Michael Behnes
, Ravinay Bhindi
, Nicolas Boudou
, Marouane Boukhris
, Nenad Z. Bozinovic
, Leszek Bryniarski

Alexander Bufe, Christopher E. Buller, M. Nicholas Burke, Heinz Joachim Buettner, Pedro Cardoso, Mauro Carlino, Chi-Kin Chan, Jiyan Chen, Evald Hoej Christiansen, Antonio Colombo, Kevin Croce, Felix Damas de los Santos, Tony de Martini, Joseph Dens, Carlo di Mario, Darshan Doshi, Kefei Dou, Mohaned Egred, Basem Elbarouni, Ahmed M. ElGuindy, Javier Escaned, Sergey Furkalo, Andrea Gagnor, Alfredo R. Galassi, Roberto Garbo, Gabriele l.Gasparini, Junbo Ge, Lei Ge, Pravin Kumar Goel, Omer Goktekin, Nieves Gonzalo, Sevket Gorgulu, Luca Grancini, Allison B. Hall, Colm Hanratty, Stefan Harb, Scott A. Harding, Raja Hatem, Farrel Hellig, Jose P. S. Henriques, David Hildick-Smith, Jonathan M. Hill, Angela Hoye, Wissam Jaber, Farouc A. Jaffer, Yangsoo Jang, Risto Jussila, Artis Kalnins, Sanjog Kalra, David E. Kandzari, Hsien-Li Kao, Dimitri Karmpaliotis, Hussien Heshmat Kassem, Kathleen E. Kearney, Jimmy Kerrigan, Jaikirshan Khatri, Dmitri Khelimskii, Ajay J. Kirtane, Paul Knaapen, Ran Kornowski, Oleg Krestyaninov, V. Ganesh Kumar, Prathap Kumar, Pablo Manuel Lamelas, Seung-Whan Lee, Thierry Lefevre, Gregor Leibundgut, Raymond Leung, Sum-Kin Leung, Yu Li, Yue Li, Soo-Teik Lim, Sidney Lo, William Lombardi, Anbukarasi Maran, Margaret McEntegart, Jeffrey Moses, Muhammad Munawar, Wataru Nagamatsu, Andres Navarro, Hung M. Ngo, William Nicholson, Anja Oksnes, Goran K. Olivecrona, Lucio Padilla, Mitul Patel, Ashish Pershad, Marin Postu, Stylianos Pyxaras, Jie Qian, Alexandre Quadros, Franklin Leonardo Hanna Quesada, Truls Råmunddal, Vithala Suryaprakasa Rao, Sudhir Rathore, Nicolaus Reifart, Robert F. Riley, Stephane Rinfret, Meruzhan Saghatelyan, Ricardo Santiago, Ashok Seth, Georgios Sianos, Elliot Smith, Anthony Spaedy, James Spratt, Gregg W. Stone, Julian W. Strange, Khalid O. Tammam, Craig A. Thompson, Aurel Toma, Jennifer A. Tremmel, Imre Ungi, Giuseppe Vadalà, Minh Vo, Vu Hoang Vu, Simon Walsh, Daniel Weilenmann, Gerald S. Werner, Jaroslaw Wojcik, Jason Wollmuth, Chiung-Jen Wu, Bo Xu, Masahisa Yamane, Luiz F. Ybarra, Robert W. Yeh, Chris Zambakides, Qi Zhang

^*Corresponding author for this work

Chinese University of Hong Kong
Promed Hospital
Allina Health
II University Heart Center
Toyohashi Heart Center
Saint George Hospital University Medical Center
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Wayne State University
Hospital Militar de Santiago
Centre Hospitalier de Valenciennes
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Mehr Hospital
Heidelberg University
Royal North Shore Hospital
Clinique Saint Augustin
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Witten/Herdecke University
University of Toronto
University of Freiburg
University of Lisbon
IRCCS Ospedale San Raffaele
Premier Medical Centre
Guangdong Provincial People’s Hospital of Southern Medical University
Aarhus University
Humanitas University
Brigham and Women’s Hospital
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Springfield Memorial Hospital
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University of Manitoba
Aswan Heart Centre (Magdi Yacoub Foundation)
Complutense University
National Academy of Medical Sciences of Ukraine
Azienda Sanitaria Locale Torino 3
University of Palermo
GVM Care and Research S.p.A.
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Istanbul Memorial Hospital
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IRCCS Centro Cardiologico S.P.A. Fondazione Monzino - Milano
Memorial University of Newfoundland
Mater Private Hospital Dublin
Medical University of Graz
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University of Montreal
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Sussex Cardiac Centre
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Ascension Saint Thomas
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Columbia University
Tel Aviv University
Russian Ministry of Health
Dr. L. H. Hiranandani Hospital, Mumbai
Meditrina Hospitals Kerala
McMaster University
University of Ulsan
Institut Cardiovasculaire Paris Sud
Kantonsspital Liestal
Royal Alexandra Hospital, Edmonton
Capital Medical University
Harbin Medical University
National Heart Centre Singapore
University of New South Wales
Department of Veterans Affairs
University of Indonesia
Hokusetsu General Hospital
Universidad San Francisco de Quito
Choray Hospital
University of Bergen
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The “Clinica Comfamiliar” Pereira
Sahlgrenska University Hospital
Care Hospital Hyderabad
Frimley Health NHS Foundation Trust
Main Taunus Heart Institute
Overlake Medical Center and Clinics
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Fortis Healthcare
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Icahn School of Medicine at Mount Sinai
Bristol Royal Infirmary
Hartford Region of Hartford Healthcare
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Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
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Western University
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Tongji University

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Abstract

Safety is of critical importance to chronic total occlusion (CTO) percutaneous coronary intervention (PCI). This global consensus statement provides guidance on how to optimise the safety of CTO) PCI, addressing the following 12 areas: 1. Set-up for safe CTO PCI; 2. Guide catheter-–associated vessel injuries; 3. Hydraulic dissection, extraplaque haematoma expansion, and aortic dissections; 4. Haemodynamic collapse during CTO PCI; 5. Side branch occlusion; 6. Perforations; 7. Equipment entrapment; 8. Vascular access considerations; 9. Contrast-induced acute kidney injury; 10. Radiation injury; 11 When to stop; and, 12. Proctorship. This statement complements the global CTO crossing algorithm; by advising how to prevent and deal with complications, this statement aims to facilitate clinical practice, research, and education relating to CTO PCI.

Original language	English
Pages (from-to)	915-931
Number of pages	17
Journal	Heart Lung and Circulation
Volume	33
Issue number	7
DOIs	https://doi.org/10.1016/j.hlc.2023.11.030
Publication status	Published - 1 Jul 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Chronic total occlusion
Consensus document
Global
Percutaneous coronary intervention
Safety

Access to Document

10.1016/j.hlc.2023.11.030

Global-consensus-recommendations-on-improving-the-safety-of-chronic-total-occlusion-interventions.pdfFinal published version, 1.2 MBLicence: CC BY

Cite this

Wu, E. B., Kalyanasundaram, A., Brilakis, E. S., Mashayekhi, K., Tsuchikane, E., Rafeh, N. A., Agostoni, P., Alaswad, K., Araya, M., Avran, A., Ayoub, M., Azzalini, L., Babunashvili, A. M., Bayani, B., Behnes, M., Bhindi, R., Boudou, N., Boukhris, M., Bozinovic, N. Z., ... Zhang, Q. (2024). Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions. Heart Lung and Circulation, 33(7), 915-931. https://doi.org/10.1016/j.hlc.2023.11.030

@article{61823adf1cdd4a6a81d8b4850e721675,

title = "Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions",

abstract = "Safety is of critical importance to chronic total occlusion (CTO) percutaneous coronary intervention (PCI). This global consensus statement provides guidance on how to optimise the safety of CTO) PCI, addressing the following 12 areas: 1. Set-up for safe CTO PCI; 2. Guide catheter-–associated vessel injuries; 3. Hydraulic dissection, extraplaque haematoma expansion, and aortic dissections; 4. Haemodynamic collapse during CTO PCI; 5. Side branch occlusion; 6. Perforations; 7. Equipment entrapment; 8. Vascular access considerations; 9. Contrast-induced acute kidney injury; 10. Radiation injury; 11 When to stop; and, 12. Proctorship. This statement complements the global CTO crossing algorithm; by advising how to prevent and deal with complications, this statement aims to facilitate clinical practice, research, and education relating to CTO PCI.",

keywords = "Chronic total occlusion, Consensus document, Global, Percutaneous coronary intervention, Safety",

author = "Wu, \{Eugene B.\} and Arun Kalyanasundaram and Brilakis, \{Emmanouil S.\} and Kambis Mashayekhi and Etsuo Tsuchikane and Rafeh, \{Nidal Abi\} and Pierfrancesco Agostoni and Khaldoon Alaswad and Mario Araya and Alexandre Avran and Mohamed Ayoub and Lorenzo Azzalini and Babunashvili, \{Avtandil M.\} and Baktash Bayani and Michael Behnes and Ravinay Bhindi and Nicolas Boudou and Marouane Boukhris and Bozinovic, \{Nenad Z.\} and Leszek Bryniarski and Alexander Bufe and Buller, \{Christopher E.\} and Burke, \{M. Nicholas\} and Buettner, \{Heinz Joachim\} and Pedro Cardoso and Mauro Carlino and Chi-Kin Chan and Jiyan Chen and Christiansen, \{Evald Hoej\} and Antonio Colombo and Kevin Croce and \{Damas de los Santos\}, Felix and \{de Martini\}, Tony and Joseph Dens and \{di Mario\}, Carlo and Darshan Doshi and Kefei Dou and Mohaned Egred and Basem Elbarouni and ElGuindy, \{Ahmed M.\} and Javier Escaned and Sergey Furkalo and Andrea Gagnor and Galassi, \{Alfredo R.\} and Roberto Garbo and Gabriele l.Gasparini and Junbo Ge and Lei Ge and Goel, \{Pravin Kumar\} and Omer Goktekin and Nieves Gonzalo and Sevket Gorgulu and Luca Grancini and Hall, \{Allison B.\} and Colm Hanratty and Stefan Harb and Harding, \{Scott A.\} and Raja Hatem and Farrel Hellig and Henriques, \{Jose P. S.\} and David Hildick-Smith and Hill, \{Jonathan M.\} and Angela Hoye and Wissam Jaber and Jaffer, \{Farouc A.\} and Yangsoo Jang and Risto Jussila and Artis Kalnins and Sanjog Kalra and Kandzari, \{David E.\} and Hsien-Li Kao and Dimitri Karmpaliotis and Kassem, \{Hussien Heshmat\} and Kearney, \{Kathleen E.\} and Jimmy Kerrigan and Jaikirshan Khatri and Dmitri Khelimskii and Kirtane, \{Ajay J.\} and Paul Knaapen and Ran Kornowski and Oleg Krestyaninov and Kumar, \{V. Ganesh\} and Prathap Kumar and Lamelas, \{Pablo Manuel\} and Seung-Whan Lee and Thierry Lefevre and Gregor Leibundgut and Raymond Leung and Sum-Kin Leung and Yu Li and Yue Li and Soo-Teik Lim and Sidney Lo and William Lombardi and Anbukarasi Maran and Margaret McEntegart and Jeffrey Moses and Muhammad Munawar and Wataru Nagamatsu and Andres Navarro and Ngo, \{Hung M.\} and William Nicholson and Anja Oksnes and Olivecrona, \{Goran K.\} and Lucio Padilla and Mitul Patel and Ashish Pershad and Marin Postu and Stylianos Pyxaras and Jie Qian and Alexandre Quadros and \{Hanna Quesada\}, \{Franklin Leonardo\} and Truls R{\aa}munddal and Rao, \{Vithala Suryaprakasa\} and Sudhir Rathore and Nicolaus Reifart and Riley, \{Robert F.\} and Stephane Rinfret and Meruzhan Saghatelyan and Ricardo Santiago and Ashok Seth and Georgios Sianos and Elliot Smith and Anthony Spaedy and James Spratt and Stone, \{Gregg W.\} and Strange, \{Julian W.\} and Tammam, \{Khalid O.\} and Thompson, \{Craig A.\} and Aurel Toma and Tremmel, \{Jennifer A.\} and Imre Ungi and Giuseppe Vadal{\`a} and Minh Vo and Vu, \{Vu Hoang\} and Simon Walsh and Daniel Weilenmann and Werner, \{Gerald S.\} and Jaroslaw Wojcik and Jason Wollmuth and Chiung-Jen Wu and Bo Xu and Masahisa Yamane and Ybarra, \{Luiz F.\} and Yeh, \{Robert W.\} and Chris Zambakides and Qi Zhang",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",

year = "2024",

month = jul,

day = "1",

doi = "10.1016/j.hlc.2023.11.030",

language = "English",

volume = "33",

pages = "915--931",

journal = "Heart Lung and Circulation",

issn = "1443-9506",

publisher = "Elsevier Ltd",

number = "7",

}

Wu, EB, Kalyanasundaram, A, Brilakis, ES, Mashayekhi, K, Tsuchikane, E, Rafeh, NA, Agostoni, P, Alaswad, K, Araya, M, Avran, A, Ayoub, M, Azzalini, L, Babunashvili, AM, Bayani, B, Behnes, M, Bhindi, R, Boudou, N, Boukhris, M, Bozinovic, NZ, Bryniarski, L, Bufe, A, Buller, CE, Burke, MN, Buettner, HJ, Cardoso, P, Carlino, M, Chan, C-K, Chen, J, Christiansen, EH, Colombo, A, Croce, K, Damas de los Santos, F, de Martini, T, Dens, J, di Mario, C, Doshi, D, Dou, K, Egred, M, Elbarouni, B, ElGuindy, AM, Escaned, J, Furkalo, S, Gagnor, A, Galassi, AR, Garbo, R, l.Gasparini, G, Ge, J, Ge, L, Goel, PK, Goktekin, O, Gonzalo, N, Gorgulu, S, Grancini, L, Hall, AB, Hanratty, C, Harb, S, Harding, SA, Hatem, R, Hellig, F, Henriques, JPS, Hildick-Smith, D, Hill, JM, Hoye, A, Jaber, W, Jaffer, FA, Jang, Y, Jussila, R, Kalnins, A, Kalra, S, Kandzari, DE, Kao, H-L, Karmpaliotis, D, Kassem, HH, Kearney, KE, Kerrigan, J, Khatri, J, Khelimskii, D, Kirtane, AJ, Knaapen, P, Kornowski, R, Krestyaninov, O, Kumar, VG, Kumar, P, Lamelas, PM, Lee, S-W, Lefevre, T, Leibundgut, G, Leung, R, Leung, S-K, Li, Y, Li, Y, Lim, S-T, Lo, S, Lombardi, W, Maran, A, McEntegart, M, Moses, J, Munawar, M, Nagamatsu, W, Navarro, A, Ngo, HM, Nicholson, W, Oksnes, A, Olivecrona, GK, Padilla, L, Patel, M, Pershad, A, Postu, M, Pyxaras, S, Qian, J, Quadros, A, Hanna Quesada, FL, Råmunddal, T, Rao, VS, Rathore, S, Reifart, N, Riley, RF, Rinfret, S, Saghatelyan, M, Santiago, R, Seth, A, Sianos, G, Smith, E, Spaedy, A, Spratt, J, Stone, GW, Strange, JW, Tammam, KO, Thompson, CA, Toma, A, Tremmel, JA, Ungi, I, Vadalà, G, Vo, M, Vu, VH, Walsh, S, Weilenmann, D, Werner, GS, Wojcik, J, Wollmuth, J, Wu, C-J, Xu, B, Yamane, M, Ybarra, LF, Yeh, RW, Zambakides, C & Zhang, Q 2024, 'Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions', Heart Lung and Circulation, vol. 33, no. 7, pp. 915-931. https://doi.org/10.1016/j.hlc.2023.11.030

TY - JOUR

T1 - Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

AU - Wu, Eugene B.

AU - Kalyanasundaram, Arun

AU - Brilakis, Emmanouil S.

AU - Mashayekhi, Kambis

AU - Tsuchikane, Etsuo

AU - Rafeh, Nidal Abi

AU - Agostoni, Pierfrancesco

AU - Alaswad, Khaldoon

AU - Araya, Mario

AU - Avran, Alexandre

AU - Ayoub, Mohamed

AU - Azzalini, Lorenzo

AU - Babunashvili, Avtandil M.

AU - Bayani, Baktash

AU - Behnes, Michael

AU - Bhindi, Ravinay

AU - Boudou, Nicolas

AU - Boukhris, Marouane

AU - Bozinovic, Nenad Z.

AU - Bryniarski, Leszek

AU - Bufe, Alexander

AU - Buller, Christopher E.

AU - Burke, M. Nicholas

AU - Buettner, Heinz Joachim

AU - Cardoso, Pedro

AU - Carlino, Mauro

AU - Chan, Chi-Kin

AU - Chen, Jiyan

AU - Christiansen, Evald Hoej

AU - Colombo, Antonio

AU - Croce, Kevin

AU - Damas de los Santos, Felix

AU - de Martini, Tony

AU - Dens, Joseph

AU - di Mario, Carlo

AU - Doshi, Darshan

AU - Dou, Kefei

AU - Egred, Mohaned

AU - Elbarouni, Basem

AU - ElGuindy, Ahmed M.

AU - Escaned, Javier

AU - Furkalo, Sergey

AU - Gagnor, Andrea

AU - Galassi, Alfredo R.

AU - Garbo, Roberto

AU - l.Gasparini, Gabriele

AU - Ge, Junbo

AU - Ge, Lei

AU - Goel, Pravin Kumar

AU - Goktekin, Omer

AU - Gonzalo, Nieves

AU - Gorgulu, Sevket

AU - Grancini, Luca

AU - Hall, Allison B.

AU - Hanratty, Colm

AU - Harb, Stefan

AU - Harding, Scott A.

AU - Hatem, Raja

AU - Hellig, Farrel

AU - Henriques, Jose P. S.

AU - Hildick-Smith, David

AU - Hill, Jonathan M.

AU - Hoye, Angela

AU - Jaber, Wissam

AU - Jaffer, Farouc A.

AU - Jang, Yangsoo

AU - Jussila, Risto

AU - Kalnins, Artis

AU - Kalra, Sanjog

AU - Kandzari, David E.

AU - Kao, Hsien-Li

AU - Karmpaliotis, Dimitri

AU - Kassem, Hussien Heshmat

AU - Kearney, Kathleen E.

AU - Kerrigan, Jimmy

AU - Khatri, Jaikirshan

AU - Khelimskii, Dmitri

AU - Kirtane, Ajay J.

AU - Knaapen, Paul

AU - Kornowski, Ran

AU - Krestyaninov, Oleg

AU - Kumar, V. Ganesh

AU - Kumar, Prathap

AU - Lamelas, Pablo Manuel

AU - Lee, Seung-Whan

AU - Lefevre, Thierry

AU - Leibundgut, Gregor

AU - Leung, Raymond

AU - Leung, Sum-Kin

AU - Li, Yu

AU - Li, Yue

AU - Lim, Soo-Teik

AU - Lo, Sidney

AU - Lombardi, William

AU - Maran, Anbukarasi

AU - McEntegart, Margaret

AU - Moses, Jeffrey

AU - Munawar, Muhammad

AU - Nagamatsu, Wataru

AU - Navarro, Andres

AU - Ngo, Hung M.

AU - Nicholson, William

AU - Oksnes, Anja

AU - Olivecrona, Goran K.

AU - Padilla, Lucio

AU - Patel, Mitul

AU - Pershad, Ashish

AU - Postu, Marin

AU - Pyxaras, Stylianos

AU - Qian, Jie

AU - Quadros, Alexandre

AU - Hanna Quesada, Franklin Leonardo

AU - Råmunddal, Truls

AU - Rao, Vithala Suryaprakasa

AU - Rathore, Sudhir

AU - Reifart, Nicolaus

AU - Riley, Robert F.

AU - Rinfret, Stephane

AU - Saghatelyan, Meruzhan

AU - Santiago, Ricardo

AU - Seth, Ashok

AU - Sianos, Georgios

AU - Smith, Elliot

AU - Spaedy, Anthony

AU - Spratt, James

AU - Stone, Gregg W.

AU - Strange, Julian W.

AU - Tammam, Khalid O.

AU - Thompson, Craig A.

AU - Toma, Aurel

AU - Tremmel, Jennifer A.

AU - Ungi, Imre

AU - Vadalà, Giuseppe

AU - Vo, Minh

AU - Vu, Vu Hoang

AU - Walsh, Simon

AU - Weilenmann, Daniel

AU - Werner, Gerald S.

AU - Wojcik, Jaroslaw

AU - Wollmuth, Jason

AU - Wu, Chiung-Jen

AU - Xu, Bo

AU - Yamane, Masahisa

AU - Ybarra, Luiz F.

AU - Yeh, Robert W.

AU - Zambakides, Chris

AU - Zhang, Qi

PY - 2024/7/1

Y1 - 2024/7/1

N2 - Safety is of critical importance to chronic total occlusion (CTO) percutaneous coronary intervention (PCI). This global consensus statement provides guidance on how to optimise the safety of CTO) PCI, addressing the following 12 areas: 1. Set-up for safe CTO PCI; 2. Guide catheter-–associated vessel injuries; 3. Hydraulic dissection, extraplaque haematoma expansion, and aortic dissections; 4. Haemodynamic collapse during CTO PCI; 5. Side branch occlusion; 6. Perforations; 7. Equipment entrapment; 8. Vascular access considerations; 9. Contrast-induced acute kidney injury; 10. Radiation injury; 11 When to stop; and, 12. Proctorship. This statement complements the global CTO crossing algorithm; by advising how to prevent and deal with complications, this statement aims to facilitate clinical practice, research, and education relating to CTO PCI.

AB - Safety is of critical importance to chronic total occlusion (CTO) percutaneous coronary intervention (PCI). This global consensus statement provides guidance on how to optimise the safety of CTO) PCI, addressing the following 12 areas: 1. Set-up for safe CTO PCI; 2. Guide catheter-–associated vessel injuries; 3. Hydraulic dissection, extraplaque haematoma expansion, and aortic dissections; 4. Haemodynamic collapse during CTO PCI; 5. Side branch occlusion; 6. Perforations; 7. Equipment entrapment; 8. Vascular access considerations; 9. Contrast-induced acute kidney injury; 10. Radiation injury; 11 When to stop; and, 12. Proctorship. This statement complements the global CTO crossing algorithm; by advising how to prevent and deal with complications, this statement aims to facilitate clinical practice, research, and education relating to CTO PCI.

KW - Chronic total occlusion

KW - Consensus document

KW - Global

KW - Percutaneous coronary intervention

KW - Safety

UR - https://www.scopus.com/pages/publications/85195059905

U2 - 10.1016/j.hlc.2023.11.030

DO - 10.1016/j.hlc.2023.11.030

M3 - Article

C2 - 38839467

SN - 1443-9506

VL - 33

SP - 915

EP - 931

JO - Heart Lung and Circulation

JF - Heart Lung and Circulation

IS - 7

ER -

Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

Abstract

UN SDGs

Keywords

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