Lithoplasty-Facilitated Proximal Cap Penetration of a Calcified Chronic Total Occlusion Coronary Lesion

Elbasha, Karim; Richardt, Gert; Hemetsberger, Rayyan; Allali, Abdelhakim

doi:10.1016/j.jaccas.2021.11.005

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…After failure of so many other "revolutionary" devices in the last 30 years, there is deep scepticism that a real breakthrough technology that will allow consistent success with low complications for operators with limited PCI experience will ever come. Still there are several promising programs, from the use of local collagenase to modify the lesion before crossing 185,186 to the application of forward-looking lithotripsy to disrupt intraluminal calcifications 187 or a bipolar radiofrequency wire system (PlasmaWire System; RetroVascular/ Asahi Intecc) for plaque ablation and channel creation inside the occlusion 188 . Time will tell whether effective devices fulfilling these promises will be developed.…”

Section: Future Developmentsmentioning

confidence: 99%

Recanalisation of coronary chronic total occlusions

Mario¹,

Mashayekhi²,

Garbo³

et al. 2022

EuroIntervention

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Percutaneous treatment of coronary chronic total occlusions (CTO) has advanced greatly since its advent in the late 1970s through the development of dedicated wires and microcatheters, the improved skills of highly experienced operators and the adoption of new sophisticated strategies to guide procedural planning. The contemporary procedural success rate is 80-90% with a reduction in complications. Although there has been no improvement in prognosis in randomised trials to date, they, and other controlled registries of thousands of patients, confirm the pivotal role of CTO recanalisation in the treatment of angina and dyspnoea and an improvement in quality of life. Despite this evidence, CTO recanalisation is grossly underutilised. This review reports a detailed overview of the history, indications and treatment strategies for CTO recanalisation and hopes to increase interest among new, and especially young, operators in this demanding, rapidly evolving field of interventional cardiology.

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Section: Future Developmentsmentioning

confidence: 99%