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July 15, 2025Journal of Personalized MedicineOpen Access

The Role of Intravascular Imaging in Coronary Chronic Total Occlusion PCIs: Enhancing Procedural Success Through Real-Time Visualization

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Authors

HSHussein SlimanTechnion – Israel Institute of TechnologyRSRim Kasem Ali SlimanTechnion – Israel Institute of TechnologyPKPaul KnaapenInterventional Cardiology

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Overview

This review demonstrates real-time visualization improves procedural success in coronary chronic total occlusion PCI, suggesting the integration of advanced imaging technologies.

Key Points

  • MAIN FINDING: Intravascular imaging significantly improves success rates in coronary chronic total occlusion (CTO) percutaneous coronary interventions (PCI).
  • KEY EVIDENCE: Strategic integration of intravascular ultrasound (IVUS), optical coherence tomography (OCT), and coronary computed tomography angiography (CCTA) enhances procedural outcomes.
  • APPROACH: The review systematically evaluates adjunctive imaging modalities during PCI, focusing on their co-registration and impact on patient-specific strategies.
  • SIGNIFICANCE: This personalized approach to interventional cardiology may lead to optimized success rates and reduced complications in complex CTO cases.

Cite This Study

Sliman et al. (2025) studied this question.

synapsesocial.com/papers/689a02bce6551bb0af8cc83fhttps://doi.org/10.3390/jpm15070318
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The role of intravascular imaging in chronic total occlusion percutaneous coronary intervention2023 · 26 citations
  2. 2The role of adjunctive imaging in chronic total occlusions2013 · 4 citations
  3. 3Intravascular Ultrasound Guided Percutaneous Coronary Intervention for Chronic Total Occlusion2015 · 25 citations
  4. 4Comparative Impact of Coronary Imaging Strategies in CTO-PCI: A Retrospective Single-Center Analysis2025
  5. 5A comparative study of chronic total occlusion-percutaneous coronary intervention with and without intravascular ultrasound-guided wiring with respect to acute procedural outcome: A single center experience2025