The Impact of Calcium on Chronic Total Occlusion Management
Coronary artery calcification is prevalent in chronic total occlusions (CTO), particularly in those of longer duration and post-coronary artery bypass. The presence of calcium predicts lower procedural success rates and a higher risk of complications of CTO percutaneous coronary intervention. Adjunc...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2021-10-01
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| Series: | Interventional Cardiology: Reviews, Research, Resources |
| Online Access: | https://www.icrjournal.com/articleindex/icr.2021.01 |
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| author | Claudia Cosgrove Kalaivani Mahadevan James C Spratt Margaret McEntegart |
| author_facet | Claudia Cosgrove Kalaivani Mahadevan James C Spratt Margaret McEntegart |
| author_sort | Claudia Cosgrove |
| collection | DOAJ |
| description | Coronary artery calcification is prevalent in chronic total occlusions (CTO), particularly in those of longer duration and post-coronary artery bypass. The presence of calcium predicts lower procedural success rates and a higher risk of complications of CTO percutaneous coronary intervention. Adjunctive imaging, including pre-procedural computed tomography and intracoronary imaging, are useful to understand the distribution and morphology of the calcium. Specialised guidewires and microcatheters, as well as penetration, subintimal entry and luminal re-entry techniques, are required to cross calcific CTOs. The use of both atherectomy devices and balloon-based calcium modification tools has been reported during CTO percutaneous coronary intervention, although they are limited by concerns regarding safety and efficacy in the subintimal space. |
| format | Article |
| id | doaj-art-2d26e623d6be459580a6d6c80c2a3881 |
| institution | Kabale University |
| issn | 1756-1477 1756-1485 |
| language | English |
| publishDate | 2021-10-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Interventional Cardiology: Reviews, Research, Resources |
| spelling | doaj-art-2d26e623d6be459580a6d6c80c2a38812024-12-14T16:03:02ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852021-10-011610.15420/icr.2021.01The Impact of Calcium on Chronic Total Occlusion ManagementClaudia Cosgrove0Kalaivani Mahadevan1James C Spratt2Margaret McEntegart3St George’s University Hospitals NHS Foundation Trust, London, UKBristol Heart Institute, Bristol, UKSt George’s University Hospitals NHS Foundation Trust, London, UKGolden Jubilee National Hospital, Glasgow, UKCoronary artery calcification is prevalent in chronic total occlusions (CTO), particularly in those of longer duration and post-coronary artery bypass. The presence of calcium predicts lower procedural success rates and a higher risk of complications of CTO percutaneous coronary intervention. Adjunctive imaging, including pre-procedural computed tomography and intracoronary imaging, are useful to understand the distribution and morphology of the calcium. Specialised guidewires and microcatheters, as well as penetration, subintimal entry and luminal re-entry techniques, are required to cross calcific CTOs. The use of both atherectomy devices and balloon-based calcium modification tools has been reported during CTO percutaneous coronary intervention, although they are limited by concerns regarding safety and efficacy in the subintimal space.https://www.icrjournal.com/articleindex/icr.2021.01 |
| spellingShingle | Claudia Cosgrove Kalaivani Mahadevan James C Spratt Margaret McEntegart The Impact of Calcium on Chronic Total Occlusion Management Interventional Cardiology: Reviews, Research, Resources |
| title | The Impact of Calcium on Chronic Total Occlusion Management |
| title_full | The Impact of Calcium on Chronic Total Occlusion Management |
| title_fullStr | The Impact of Calcium on Chronic Total Occlusion Management |
| title_full_unstemmed | The Impact of Calcium on Chronic Total Occlusion Management |
| title_short | The Impact of Calcium on Chronic Total Occlusion Management |
| title_sort | impact of calcium on chronic total occlusion management |
| url | https://www.icrjournal.com/articleindex/icr.2021.01 |
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