Crossing CTOs - The tips, tricks, and specialist kit that can mean the difference between success and failure

Catheterization and Cardiovascular Interventions

Volumn 74, Issue 7, 2009, Pages 1019-1046

  Godino, Cosmo ^a,b   Sharp, Andrew S P ^a,b   Carlino, Mauro ^a   Colombo, Antonio ^a,b  

^a SAN RAFFAELE HOSPITAL   (Italy)

^b EMO GVM CENTRO CUORE COLUMBUS   (Italy)

Author keywords

Chronic total occlusions; Guidewires; Microcatheters; Percutaneous coronary intervention

Indexed keywords

HEPARIN; NITINOL; POLITEF; PROTAMINE SULFATE; STAINLESS STEEL;

ANTICOAGULATION; ARTERY DISSECTION; ARTIFICIAL EMBOLISM; BLOOD TRANSFUSION; CATHETER; CATHETER SHAPE; CATHETER SIZE; CHRONIC TOTAL OCCLUSION; CLASSIFICATION; COAXIAL ANCHORING BALLOON TECHNIQUE; COIL EMBOLIZATION; CORONARY ARTERY DISEASE; CORONARY ARTERY PERFORATION; EQUIPMENT DESIGN; EXTRAVASATION; GUIDE WIRE; HUMAN; HYDROPHILICITY; INTRAVASCULAR ULTRASOUND; LEFT CORONARY ARTERY; MATERIAL COATING; MICROCATHETER; NONCOAXIAL ANCHORING BALLOON TECHNIQUE; PERCUTANEOUS CORONARY INTERVENTION; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; REVERSE ANCHORING BALLOON TECHNIQUE; REVIEW; RIGHT CORONARY ARTERY; RIGIDITY; STENT; SURGICAL APPROACH; TECHNIQUE; WIRING TECHNIQUE;

ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY; CHRONIC DISEASE; CLINICAL COMPETENCE; CORONARY OCCLUSION; CORONARY VESSELS; EQUIPMENT DESIGN; HEART INJURIES; HUMANS; PATIENT SELECTION; PROSTHESIS DESIGN; RADIOGRAPHY, INTERVENTIONAL; RUPTURE; STENTS; TREATMENT FAILURE; TREATMENT OUTCOME; ULTRASONOGRAPHY, INTERVENTIONAL; WOUNDS, PENETRATING;

EID: 72249092363     PISSN: 15221946     EISSN: 1522726X     Source Type: Journal    
DOI: 10.1002/ccd.22161     Document Type: Review

References (50)

1. Warren RJ, Black AJ, Valentine PA, Manolas EG, Hunt D. Coronary angioplasty for chronic total occlusion reduces the need for subsequent coronary bypass surgery. Am Heart J 1990;120:270-274. (Pubitemid 20229813)
2. Ivanhoe RJ, Weintraub WS, Douglas JS, Lembo NJ, Furman M, Gershony G, Cohen CL, King SB. Percutaneous transluminal coronary angioplasty of chronic total occlusions. Primary success, restenosis, and long-term clinical follow-up. Circulation 1992;85:106-115.
3. Suero J, Marso S, Jones P, Laster S, Huber K, Giorgi L, Johnson W, Rutherford B. Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries: A 20-year experience. J Am Coll Cardiol 2001;38:409-414. (Pubitemid 32721768)
4. Fujita S, Tamai H, Kyo E, Kosuga K, Hata T, Okada M, Nakamura T, Tsuji T, Takeda S, bin Hu F. New technique for superior guiding catheter support during advancement of a balloon in coronary angioplasty: The anchor technique. Catheter Cardiovasc Interv 2003;59:482-488.
5. Hirokami M, Saito S, Muto H. Anchoring technique to improve guiding catheter support in coronary angioplasty of chronic total occlusions. Catheter Cardiovasc Interv 2006;67:366-371. (Pubitemid 43346734)
6. Takahashi S, Saito S, Tanaka S, Miyashita Y, Shiono T, Arai F, Domae H, Satake S, Itoh T. Basic science review new method to increase a backup support of a 6 french guiding coronary catheter. Catheter Cardiovasc Interv 2004;63:452-456. (Pubitemid 39578507)
7. Stratienko AA, Ginsberg R, Schatz RA, Teirstein PS. Technique of shortening angioplasty guide catheter lentgh when therapeutic catheter fails to reach target stenosis. Cathet Cardiovasc Diagn 1993;30:331-333. (Pubitemid 23360073)
8. Wu EB, Chan WW, Yu CM. Retrograde chronic total occlusion intervention: Tips and tricks. Catheter Cardiovasc Interv 2008;72:806-814.
9. Kirtane AJ, Stone GW. The anchor-tornus technique:A novel approach to "uncrossable" chronic total occlusions. Catheter Cardiovasc Interv 2007;70:554-557.
10. Yamane M. New guide wires for CTO intervention. Encoure Seoul 2007 (Oral presentation). Available at: www.encoreseoul.org/upload/board/Masahisa%20Yamane. pdf. Last accessed: 2 January 2009.
11. Carlino M, Godino C, Latib A, Moses J, Colombo A. Subintimal tracking and re-entry (STAR) technique with contrast guidance: A safer approach. Catheter Cardiovasc Interv 2008;72:790-796.
12. Ochiai M. Shaping the tip and strategies for successful penetrating and crossing the lesion. TCT, Washington, DC 2005 (Oral presentation); Available at: www.parseoul.com/Upload/1124244352.pdf. Last accessed: 4 January 2009.
13. Mitsudo K, Yamashita T, Asakura Y, Muramatsu T, Doi O, Shibata Y, Morino Y. Recanalization strategy for chronic total occlusions with tapered and stiff-tip guidewire. J Invasive Cardiol 2008;20:571-577.
14. Stone GW, Kandzari DE, Mehran R, Colombo A, Schwartz RS, et al. Percutaneous recanalization of chronically occluded coronary arteries: A consensus document, Part 1. Circulation 2005;112:2364-2372. (Pubitemid 41464580)
15. Srivatsa SS, Edwards WD, Boos CM, Grill DE, Sangiorgi GM, Garratt KN, Schwartz RS, Holmes DRJ. Histologic correlates of angiographic chronic total coronary artery occlusions: Influence of occlusion duration on neovascular channel patterns and intimal plaque composition. J Am Coll Cardiol 1997;29:955-963. (Pubitemid 27149567)
16. Carlino M, Latib A, Godino C, Cosgrave J, Colombo A. CTO recanalization by intraocclusion injection of contrast: the micro-channel technique. Catheter Cardiovasc Interv 2008;71:20-26. (Pubitemid 351158342)
17. Colombo A, Mikhail GW, Michev I, Iakovou I, Airoldi F, Chieffo A, Rogacka R, Carlino M, Montorfano M, Sangiorgi GM. Treating chronic total occlusions using subintimal tracking and re-entry: The STAR Technique. Catheter Cardiovasc Interv 2005;64:407-411. (Pubitemid 40463431)
18. Choi JW, Goodreau LM, Davidson CJ. Resource utilization and clinical outcomes of coronary stenting: a comparison of intravascular ultrasound and angiographic guided stent implantation. Am Heart J 2001;142:112-118.
19. Kahn JK, Hartzler GO. Retrograde coronary angioplasty of isolated arterial segments through saphenous vein bypass grafts. Cathet Cardiovasc Diagn 1990;20:88-93.
20. Ochiai M. The retrograde approach: basic approach, success rate and complications different techniques and how to choose. Washington, DC:TCT; 2006 (Oral presentation).
21. Saito S. Different strategies of retrograde approach in coronary angioplasty for chronic total occlusion. Catheter Cardiovasc Interv 2008;17:8-19. (Pubitemid 351158341)
22. Surmely JF, Tsuchikane E, Katoh O. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: The CART technique. J Invasive Cardiol 2006;18:334-338. (Pubitemid 44014134)
23. Yoshimachi F, Masutani M, Matsukage T, Saito S, Ikari Y. Kissing balloon technique within a 5 Fr guiding catheter using 0.010 inch guidewires and 0.010 inch guidewire-compatible balloons. J Invasive Cardiol 2007;19:519-524. (Pubitemid 351209466)
24. Matsukage T, Masuda N, Ikari Y. Simultaneous triple-balloon inflation technique within a 6 Fr guiding catheter for a trifurcation lesion. J Invasive Cardiol 2008;20:E210-E214.
25. Masutani M, Yoshimachi F, Matsukage T. Use of slender catheters for transradial angiography and interventions. Indian Heart J 2008;22:A26.
26. Otsuka Y. A novel 0.010-inch guidewire for crossing jailed sidebranches. Catheter Cardiovasc Interv 2009;73:346-349.
27. Masutani M. Try the CTO lesion by slender system.EUROPCR 2007 (Oral presentation); Available at: http://www.europcronline.com/fo/lecture/getpdf.php? rd1/4/qvncbr/RhebCPE2007/3575-1790-. Last accessed: 4 January 2009.
28. Matsukage T, Yoshimachi F, Masutani M, Katsuki T, Saito S, et al. A new 0.010-inch guidewire and compatible balloon catheter system: The IKATEN registry. Catheter Cardiovasc Interv 2009;73:605-610.
29. Stewart J, Denne L, Bowker T, Mulcahy D, Williams M, Buller N, Sigwart U, Rickards A. Percutaneous transluminal coronary angioplasty in chronic coronary artery occlusion. J Am Coll Cardiol 1993;21:1371-1376. (Pubitemid 23138704)
30. Leonzi O, Ettori F, Lettieri C, Metra M, Maggi A, Niccoli L. Coronary angioplasty in chronic total occlusion: Angiography results, complications, and predictive factors. G Ital Cardiol 1995;25:807-814.
31. Orford J, Fasseas P, Denktas A, Garratt K. Anterior ischemia secondary to embolization of the posterior descending artery in a patient with a chronic total occlusion of the left anterior descending artery. J Invasive Cardiol 2002;14:527-530. (Pubitemid 35051046)
32. Ellis S, Ajluni S, Arnold A, Popma J, Bittl J, Eigler N, Cowley M, Raymond R, Safian R, Whitlow P. Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation 1994;90:2725-2730.
33. Javaid A, Buch AN, Satler LF, Kent KM, Suddath WO, Lindsay J, Pichard AD, Waksman R. Management and outcomes of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 2006;98:911-914. (Pubitemid 44402259)
34. Dippel E, Kereiakes D, Tramuta D, Broderick T, Shimshak T, et al. Coronary perforation during percutaneous coronary intervention in the era of abciximab platelet glycoprotein IIb/IIIa blockade: An algorithm for percutaneous management. Catheter Cardiovasc Interv 2001;52:279-286. (Pubitemid 32184868)
35. Yeo KK, Rogers JH, Laird JR. Use of stent grafts and coils in vessel rupture and perforation. J Interv Cardiol 2008;21:86-99.
36. Satler LF. A revised algorithm for coronary perforation. Catheter Cardiovasc Interv 2002;57:215-216.
37. Briguori C, Nishida T, Anzuini A, Di Mario C, Grube E, Colombo A. Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures. Circulation 2000;102:3028-3031.
38. Colombo A, Itoh A, Di Mario C, Maiello L, Arena V, Blengino S, Briati P, Ferraro M, Di Francesco L, Martini G. Successful closure of a coronary vessel rupture with a vein graft stent: case report. Cathet Cardiovasc Diagn 1996;38:172-174. (Pubitemid 26181020)
39. Lansky AJ, Yang Y, Khan Y, Costa RA, Pietras C, Tsuchiya Y, Cristea E, Collins M, Mehran R, Dangas GD. Treatment of coronary artery perforations complicating percutaneous coronary intervention with a polytetrafluoroethylene- covered stent graft. J Am Coll Cardiol 2006;98:370-374. (Pubitemid 44062447)
40. von Birgelen C, Haude M, Herrmann J, Altmann C, Klinkhart W, Welge D, Wieneke H, Baumgart D, Sack S, Erbel R. Early clinical experience with the implantation of a novel synthetic coronary stent graft. Catheter Cardiovasc Interv 1999;47:496-503. (Pubitemid 29360378)
41. Assali AR, Moustapha A, Sdringola S, Rihner M, Smalling RW. Successful treatment of coronary artery perforation in an abciximab-treated patient by microcoil embolization. Catheter Cardiovasc Interv 2000;51:487-489.
42. Aslam MS, Messersmith RN, Gilbert J, Lakier JB. Successful management of coronary artery perforation with helical platinum microcoil embolization. Catheter Cardiovasc Interv 2000;51:320-322. (Pubitemid 30834462)
43. Gaxiola E, Browne KF. Coronary artery perforation repair using microcoil embolization. Cathet Cardiovasc Diagn 1998;43:474-476. (Pubitemid 28153215)
44. Fischell TA, Carter AJ, Ashraf K, Birdsall J, Smoker S. Coronary artery rupture during balloon angioplasty, rescued with localized thrombin injection and coil embolization. Catheter Cardiovasc Interv 2006;68:254-257. (Pubitemid 44167677)
45. Jamali AH, Lee MS, Makkar RR. Coronary perforation after percutaneous coronary intervention successfully treated with local thrombin injection. J Invasive Cardiol 2006;18:E143-E145.
46. Storger H, Ruef J. Closure of guide wire-induced coronary artery perforation with a two-component fibrin glue. Catheter Cardiovasc Interv 2007;70:237-240. (Pubitemid 47206035)
47. Dixon SR, Webster MW, Ormiston JA, Wattie WJ, Hammett CJ. Gelfoam embolization of a distal coronary artery guidewire perforation. Catheter Cardiovasc Interv 2000;49:214-217.
48. Fukutomi T, Suzuki T, Popma J, Hosokawa H, Yokoya K, et al. Early and late clinical outcomes following coronary perforation in patients undergoing percutaneous coronary intervention. Circ J 2002;66:349-356. (Pubitemid 34462387)
49. Maruo T, Yasuda S, Miyazaki S. Delayed appearance of coronary artery perforation following cutting balloon angioplasty. Catheter Cardiovasc Interv 2002;57:529-531. (Pubitemid 35424133)
50. Chae JK, Park SW, Kim YH, Hong MK, Park SJ. Successful treatment of coronary artery perforation during angioplasty using autologous vein graft-coated stent. Eur Heart J 1997;18:1030-1032.