Cardiac magnetic resonance for ischaemia and viability detection. Guiding patient selection to revascularization in coronary chronic total occlusions: The CARISMA_CTO study design

Pica, Silvia; Giovine, Gabriella Di; Bollati, Mario; Testa, Luca; Bedogni, Francesco; Camporeale, Antonia; Andreini, Daniele; Monti, Lorenzo; Gasparini, Gabriele L.; Grancini, Luca; Secco, Gioel Gabrio; Maestroni, Alberto; Ambrogi, Federico; Milani, Valentina; Lombardi, Massimo

doi:10.1016/j.ijcard.2018.08.061

Cited by 16 publications

(13 citation statements)

References 28 publications

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“…It provides accurate and reproducible assessment of global and regional ventricular function, myocardial perfusion at rest and at stress, myocardial scar and the identification of viable but dysfunctional hibernated myocardium, being able to predict its recovery after successful revascularization[ 16 ]. Previous studies showed that the use of CMR may help to select patients who could derive significant LV reverse remodeling, ischemic burden relief, and quality of life improvement after CTO recanalization[ 17 , 18 ]. Nevertheless, randomized trials with larger patient numbers are warranted to explore whether CMR-guided CTO revascularization is indeed superior to other available functional imaging, and is an independent predictor of long-term improved clinical outcome.…”

Section: Clinical Benefits Of Cto Revascularization: Still An Open Debate?mentioning

confidence: 99%

Chronic total occlusion revascularization: A complex piece to "complete" the puzzle

Muraca¹,

Carrabba²,

Virgili³

et al. 2022

WJC

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Treatment of coronary chronic total occlusion (CTO) with percutaneous coronary intervention (PCI) has rapidly increased during the past decades. Different strategies and approach were developed in the recent past years leading to an increase in CTO-PCI procedural success. The goal to achieve an extended revascularization with a high rate of completeness is now supported by strong scientific evidences and consequently, has led to an exponential increase in the number of CTO-PCI procedures, even if are still underutilized. It has been widely demonstrated that complete coronary revascularization, achieved by either coronary artery bypass graft or PCI, is associated with prognostic improvement, in terms of increased survival and reduction of major adverse cardiovascular events. The application of “contemporary” strategies aimed to obtain a state-of-the-art revascularization by PCI allows to achieve long-term clinical benefit, even in high-risk patients or complex coronary anatomy with CTO. The increasing success of CTO-PCI, allowing a complete or reasonable incomplete coronary revascularization, is enabling to overcome the last great challenge of interventional cardiology, adding a “complex” piece to “complete” the puzzle.

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Section: Clinical Benefits Of Cto Revascularization: Still An Open Debate?mentioning

confidence: 99%

Chronic total occlusion revascularization: A complex piece to "complete" the puzzle

Muraca¹,

Carrabba²,

Virgili³

et al. 2022

WJC

View full text Add to dashboard Cite

show abstract

“…Finally, CMR may play a role in identifying the subgroup of patients with chronic total occlusions (CTO) that may benefit from revascularization [ 33 ]. In this setting, the CARISMA-CTO study showed that the implementation of a multi-parameter CMR protocol to study viability/ischemia can help to identify the best candidates for CTO-PCI [ 34 ]. This is of great importance considering the high percentage of complications related to complex PCI procedures.…”

Section: The Role Of Cmr In the Detection Of Significant Cadmentioning

confidence: 99%

Contemporary Role of Cardiac Magnetic Resonance in the Management of Patients with Suspected or Known Coronary Artery Disease

et al. 2021

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Cardiac magnetic resonance imaging (CMR) is a useful non-invasive radiation-free imaging modality for the management of patients with coronary artery disease (CAD). CMR cine imaging provides the “gold standard” assessment of ventricular function, late gadolinium enhancement (LGE) provides useful data for the diagnosis and extent of myocardial scar and viability, while stress imaging is an established technique for the detection of myocardial perfusion defects indicating ischemia. Beyond its role in the diagnosis of CAD, CMR allows accurate risk stratification of patients with established CAD. This review aims to summarize the data regarding the role of CMR in the contemporary management of patients with suspected or known coronary artery disease.

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“…Nevertheless, it can be argued that it may have its place in myocardium risk assessment. Perhaps the ongoing CARISMA_CTO study will provide more clarity on the matter (79).…”

Section: Cardiovascular Magnetic Resonancementioning

confidence: 99%

Non-invasive Imaging in Patients With Chronic Total Occlusions of the Coronary Arteries—What Does the Interventionalist Need for Success?

Kersten

Eberhardt

Prasad

et al. 2021

Front. Cardiovasc. Med.

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Chronic total occlusion (CTO) of coronary arteries is a common finding in patients with known or suspected coronary artery disease (CAD). Although tremendous advances have been made in the interventional treatment of CTOs over the past decade, correct patient selection remains an important parameter for achieving optimal results. Non-invasive imaging can make a valuable contribution. Ischemia and viability, two major factors in this regard, can be displayed using echocardiography, single-photon emission tomography, positron emission tomography, computed tomography, and cardiac magnetic resonance imaging. Each has its own strengths and weaknesses. Although most have been studied in patients with CAD in general, there is an increasing number of studies with positive preselectional factors for patients with CTOs. The aim of this review is to provide a structured overview of the current state of pre-interventional imaging for CTOs.

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Cardiac magnetic resonance for ischaemia and viability detection. Guiding patient selection to revascularization in coronary chronic total occlusions: The CARISMA_CTO study design

Cited by 16 publications

References 28 publications

Chronic total occlusion revascularization: A complex piece to "complete" the puzzle

Chronic total occlusion revascularization: A complex piece to "complete" the puzzle

Contemporary Role of Cardiac Magnetic Resonance in the Management of Patients with Suspected or Known Coronary Artery Disease

Non-invasive Imaging in Patients With Chronic Total Occlusions of the Coronary Arteries—What Does the Interventionalist Need for Success?

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