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
- coronary artery disease
- st segment elevation myocardial infarction
- acute coronary syndrome
- acute myocardial infarction
- antiplatelet therapy
- st elevation myocardial infarction
- clinical practice
- coronary artery bypass grafting
- acute kidney injury
- atrial fibrillation
- healthcare
- magnetic resonance
- machine learning
- physical activity
- left ventricular
- deep learning
- aortic valve
- cardiac surgery
- risk factors
- oxidative stress
- radiation therapy
- heart failure
- pulmonary artery
- ultrasound guided
- coronary artery
- pulmonary arterial hypertension
- magnetic resonance imaging
- computed tomography