Knowledge about chronic total coronary artery occlusions among Polish physicians

Bryniarski, Leszek; Zabojszcz, Michał; Bryniarski, Krzysztof; Terlecki, Michał

doi:10.5114/pwki.2010.14166

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…The presented study is the first attempt to assess the knowledge about technical aspects of percutaneous CTO recanalization among Polish interventional cardiologists. In our previous study we were able to present the knowledge of this topic among Polish physicians only with an interest in cardiology [ 4 ]. In our opinion the survey conducted during two major Polish interventional cardiology workshops ensures representativeness of the study sample.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of chronic total occlusion among Polish interventional cardiologists

Bryniarski¹,

Zabojszcz²,

Dębski³

et al. 2015

pwki

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IntroductionChronic total occlusion (CTO) recanalization is indicated in patients with symptoms and evidence of ischemia, but in most cases those types of lesions are still treated medically. In the last few years CTO angioplasty technique has changed dramatically due to considerable advances in techniques and dedicated equipment.AimAn attempt to assess the state of knowledge of technical aspects of CTO angioplasty of coronary arteries among Polish interventional cardiologists.Material and methodsQuestionnaire survey performed during two major Polish invasive cardiology workshops.ResultsIn the study there participated 113 physicians with an average length of work experience of 13 years, most of them cardiologists certified as independent primary operators. The majority of respondents recognized the need of prevention of thrombotic complications through control of activated coagulation time during the CTO procedures. Prevention of renal complications and X-ray protection are also recognized as a significant part of the procedures. The benefits from the use of over-the-wire microcatheters and balloons, the proper choice of dedicated guidewires, contralateral injections and retrograde technique are underestimated.ConclusionsDespite satisfactory knowledge about indications and qualification for the CTO procedure, the awareness of procedural aspects (particularly the retrograde technique) as well as the dedicated CTO equipment among Polish interventional cardiologists is still insufficient.

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Section: Discussionmentioning

confidence: 99%

Knowledge of chronic total occlusion among Polish interventional cardiologists

Bryniarski¹,

Zabojszcz²,

Dębski³

et al. 2015

pwki

Self Cite

View full text Add to dashboard Cite

show abstract

“…In our previous study we were able to present the knowledge of this topic among Polish physicians with an interest only in cardiology [6]. In our opinion the survey conducted during two major Polish interventional cardiology workshops ensures representativeness of the study sample.…”

Section: Discussionmentioning

confidence: 99%

“…As we described previously, in 2010 the level of knowledge regarding chronic total occlusions of coronary arteries was not sufficient [6]. Since this time the new consensus of the EuroCTO Club was published and CTO has been one of the most important topics during national and international cardiology congresses [4].…”

Section: Introductionmentioning

confidence: 99%

What do Polish interventional cardiologists know about indications and qualification for recanalisation of chronic total coronary artery occlusions?

et al. 2015

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A b s t r a c tBackground: Chronic total occlusions (CTO) are diagnosed in about 20% of patients with significant coronary artery disease. A disproportion between the high prevalence of CTOs and low rate of invasive treatment still exists. Technical difficulties, clinical uncertainties whether patients benefit from recanalisation, and a lack of knowledge of CTO may be responsible for this fact. Aim:To assess the knowledge of coronary arteries CTO among Polish interventional cardiologists. Methods:A self-designed questionnaire was used during two major Polish invasive cardiology workshops held in 2014. Results:The study included 113 physicians, mostly cardiologists certified as independent operators. Average self-declared efficacy of CTO recanalisation was 63.5%. Most of the respondents agreed that the operator involved in the CTO recanalisation program should perform at least 30-50 procedures per year. Only 67% stated that before CTO revascularisation the evaluation of myocardial viability should be performed with dobutamine stress echocardiography as a preferred test. One third of the physicians agreed that CTO percutaneous coronary intervention (PCI) should not be performed directly after diagnostic angiography, and 51.5% believed that in patients with multi-vessel coronary artery disease PCI of CTO should be performed first. Multi-slice spiral computed tomography during the qualification and planning of the CTO revascularisation, in the opinion of 91% of the responders, should not be used before each procedure but could be useful in selected cases. Conclusions:Polish interventional cardiologists remains in compliance with current opinions about recanalisation of chronic coronary artery occlusions and the consensus of the EuroCTO Club, but there is still an unceasing need for further education and promotion of knowledge about CTOs.

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“…Our experience indicates that noninvasive cardiologists, but importantly also invasive cardiologists, have insufficient knowledge about CTOs procedures, making them ineligible to properly qualified to CTOs procedures, and properly perform CTOs PCI [16,17]. We have attempted to disseminate this knowledge, in order to cooperate with other centers and to establish rules to send patients to more experienced centers when warranted.…”

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confidence: 99%