The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorial

Intravascular ultrasound in percutaneous coronary intervention for in-stent chronic total occlusion: guidance for long-term success

EuroIntervention 2020;16:445-447. DOI: 10.4244/EIJV16I6A80

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 ...

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