In the field of complex percutaneous coronary interventions (PCI), chronic total occlusions (CTO) pose the highest degree of complexity. The success rates of CTO-PCI are the lowest and complication rates rank as the highest among all lesion types. Nonetheless, advances in technical and operator skills have led to progressively better success rates1.
Among CTO, in-stent CTO are particular challenging. Although re-permeabilisation rates are comparable to de novo CTO, in-stent CTO are associated with more stent-related adverse events during follow-up2,3.
IVUS may play a key role as a highly valuable tool for guiding and optimising PCI in CTO. Randomised ...
Focus on emerging physiology indices, TAVI, sizing with abnormal aortic cusps, a megaregistry of complex PCIs and more…
Hinge point-based aortic annular plane
September 18, 2020