Key result
The European Chronic Total Occlusion Club proposes a contemporary, methodological approach integrating evidence-based diagnostic methods with tailored percutaneous therapeutic options for heavily calcified CTOs.
Why the study?
Severe calcification in coronary chronic total occlusions increases PCI procedural complexity and worsens long-term outcomes, requiring integrated diagnostic and therapeutic approaches.
This expert review provides a contemporary, methodological approach and treatment algorithm for managing heavily calcified chronic total occlusions during PCI.
Imaging may guide lesion prep in calcified CTO PCI; leaves open which strategies improve outcomes.
Severe calcification is frequent in coronary chronic total occlusions (CTO), and its presence has been associated with increased procedural complexity and poor long-term outcomes following percutaneous coronary intervention (PCI) in an already challenging anatomical setting. The diagnostic characterisation of heavily calcified CTOs using non-invasive and invasive imaging tools can lead to the application of different therapeutic options during CTO PCI, in order to achieve adequate lesion preparation and optimal stent implantation. In this expert review, the European Chronic Total Occlusion Club provides a contemporary, methodological approach, specifically addressing heavily calcified CTOs, suggesting an integration of evidence-based diagnostic methods to tailored, up-to-date percutaneous therapeutic options.
No takes yet. Share an insight, caveat, or question.
Mashayekhi et al. (2023) conducted a review in Heavily calcified chronic total occlusions. Percutaneous coronary intervention (PCI) strategies was evaluated. The European Chronic Total Occlusion Club proposes a contemporary, methodological approach integrating evidence-based diagnostic methods with tailored percutaneous therapeutic options for heavily calcified CTOs.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: