Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

Eugene B. Wu, Arun Kalyanasundaram, Emmanouil S. Brilakis, Kambis Mashayekhi, Etsuo Tsuchikane, Nidal Abi Rafeh, Pierfrancesco Agostoni, Khaldoon Alaswad, Mario Araya, Alexandre Avran, Mohamed Ayoub, Lorenzo Azzalini, Avtandil M. Babunashvili, Baktash Bayani, Michael Behnes, Ravinay Bhindi, Nicolas Boudou, Marouane Boukhris, Nenad Z. Bozinovic, Leszek BryniarskiAlexander Bufe, Christopher E. Buller, M. Nicholas Burke, Heinz Joachim Buettner, Pedro Cardoso, Mauro Carlino, Chi Kin Chan, Jiyan Chen, Evald Hoej Christiansen, Antonio Colombo, Kevin Croce, Felix Damas de los Santos, Tony de Martini, Joseph Dens, Carlo di Mario, Darshan Doshi, Kefei Dou, Mohaned Egred, Basem Elbarouni, Ahmed M. ElGuindy, Javier Escaned, Sergey Furkalo, Andrea Gagnor, Alfredo R. Galassi, Roberto Garbo, Gabriele L.Gasparini, Junbo Ge, Lei Ge, Pravin Kumar Goel, Omer Goktekin, Nieves Gonzalo, Sevket Gorgulu, Luca Grancini, Allison B. Hall, Colm Hanratty, Stefan Harb, Scott A. Harding, Raja Hatem, Farrel Hellig, Jose P.S. Henriques, David Hildick-Smith, Jonathan M. Hill, Angela Hoye, Wissam Jaber, Farouc A. Jaffer, Yangsoo Jang, Risto Jussila, Artis Kalnins, Sanjog Kalra, David E. Kandzari, Hsien Li Kao, Dimitri Karmpaliotis, Hussien Heshmat Kassem, Kathleen E. Kearney, Jimmy Kerrigan, Jaikirshan Khatri, Dmitri Khelimskii, Ajay J. Kirtane, Paul Knaapen, Ran Kornowski, Oleg Krestyaninov, V. Ganesh Kumar, Prathap Kumar, Pablo Manuel Lamelas, Seung Whan Lee, Thierry Lefevre, Gregor Leibundgut, Raymond Leung, Sum Kin Leung, Yu Li, Yue Li, Soo Teik Lim, Sidney Lo, William Lombardi, Anbukarasi Maran, Margaret McEntegart, Jeffrey Moses, Muhammad Munawar, Wataru Nagamatsu, Andres Navarro, Hung M. Ngo, William Nicholson, Anja Oksnes, Goran K. Olivecrona, Lucio Padilla, Mitul Patel, Ashish Pershad, Marin Postu, Stylianos Pyxaras, Jie Qian, Alexandre Quadros, Franklin Leonardo Hanna Quesada, Truls Råmunddal, Vithala Suryaprakasa Rao, Sudhir Rathore, Nicolaus Reifart, Robert F. Riley, Stephane Rinfret, Meruzhan Saghatelyan, Ricardo Santiago, Ashok Seth, Georgios Sianos, Elliot Smith, Anthony Spaedy, James Spratt, Gregg W. Stone, Julian W. Strange, Khalid O. Tammam, Craig A. Thompson, Aurel Toma, Jennifer A. Tremmel, Imre Ungi, Giuseppe Vadalà, Minh Vo, Vu Hoang Vu, Simon Walsh, Daniel Weilenmann, Gerald S. Werner, Jaroslaw Wojcik, Jason Wollmuth, Chiung Jen Wu, Bo Xu, Masahisa Yamane, Luiz F. Ybarra, Robert W. Yeh, Chris Zambakides, Qi Zhang

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Safety is of critical importance to chronic total occlusion (CTO) percutaneous coronary intervention (PCI). This global consensus statement provides guidance on how to optimise the safety of CTO) PCI, addressing the following 12 areas: 1. Set-up for safe CTO PCI; 2. Guide catheter-–associated vessel injuries; 3. Hydraulic dissection, extraplaque haematoma expansion, and aortic dissections; 4. Haemodynamic collapse during CTO PCI; 5. Side branch occlusion; 6. Perforations; 7. Equipment entrapment; 8. Vascular access considerations; 9. Contrast-induced acute kidney injury; 10. Radiation injury; 11 When to stop; and, 12. Proctorship. This statement complements the global CTO crossing algorithm; by advising how to prevent and deal with complications, this statement aims to facilitate clinical practice, research, and education relating to CTO PCI.

Original languageEnglish
Pages (from-to)915-931
Number of pages17
JournalHeart Lung and Circulation
Volume33
Issue number7
DOIs
Publication statusPublished - 2024 Jul

Bibliographical note

Publisher Copyright:
© 2024 The Author(s)

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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