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.
Keyphrases
- percutaneous coronary intervention
- acute myocardial infarction
- st segment elevation myocardial infarction
- coronary artery disease
- antiplatelet therapy
- acute coronary syndrome
- st elevation myocardial infarction
- clinical practice
- coronary artery bypass grafting
- acute kidney injury
- atrial fibrillation
- healthcare
- coronary artery bypass
- left ventricular
- machine learning
- magnetic resonance
- cardiac surgery
- aortic valve
- pulmonary artery
- high glucose
- deep learning
- diabetic rats
- magnetic resonance imaging
- coronary artery
- quality improvement
- endothelial cells
- heart failure
- ultrasound guided
- drug induced