Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society

Coronary chronic total occlusions (CTO) are increasingly encountered during invasive and non-invasive coronary angiography and remain the most challenging lesions for percutaneous revascularization. During recent years success rates and safety outcomes of CTO percutaneous coronary intervention (PCI)...

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Autores principales:	Leszek Bryniarski, Maksymilian P. Opolski, Jarosław Wójcik, Maciej Lesiak, Tomasz Pawłowski, Jakub Drozd, Wojciech Wojakowski, Sławomir Surowiec, Maciej Dąbrowski, Adam Witkowski, Dariusz Dudek, Marek Grygier, Stanisław Bartuś
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	coronary chronic total occlusion percutaneous coronary intervention hybrid algorithm. Medicine R
Acceso en línea:	https://doaj.org/article/1200e50e88c040a48022a5fa0db8a6c1
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spelling	oai:doaj.org-article:1200e50e88c040a48022a5fa0db8a6c12021-12-02T17:46:06ZChronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society1734-93381897-429510.5114/aic.2021.104763https://doaj.org/article/1200e50e88c040a48022a5fa0db8a6c12021-03-01T00:00:00Zhttps://www.termedia.pl/Chronic-total-occlusion-percutaneous-coronary-intervention-in-everyday-clinical-practice-an-expert-opinion-of-the-Association-of-Cardiovascular-Interventions-of-the-Polish-Cardiac-Society,35,43633,1,1.htmlhttps://doaj.org/toc/1734-9338https://doaj.org/toc/1897-4295Coronary chronic total occlusions (CTO) are increasingly encountered during invasive and non-invasive coronary angiography and remain the most challenging lesions for percutaneous revascularization. During recent years success rates and safety outcomes of CTO percutaneous coronary intervention (PCI) have substantially improved, particularly due to the introduction of new techniques and dedicated equipment as well as specialized training programs of CTO operators. Significantly, the steady advances in CTO PCI techniques have coincided with the new data from randomized clinical trials supporting the role of percutaneous recanalization of CTO in relieving angina and improving the quality of life. The current expert consensus document outlines the rationale, clinical outcomes as well as technical, safety and reimbursement issues of CTO PCI. In addition, the requirements for achieving and maintaining competency in CTO PCI among interventional cardiologists are discussed. Finally, we present the modified hybrid algorithm (the so-called Polish hybrid algorithm) providing some unique refinements to the contemporary CTO PCI strategies. Continuous efforts (including active engagement with the payer) are urgently needed to increase guideline-recommended referrals to CTO PCI, and thus improve the quality of life of CTO patients in Poland.Leszek BryniarskiMaksymilian P. OpolskiJarosław WójcikMaciej LesiakTomasz PawłowskiJakub DrozdWojciech WojakowskiSławomir SurowiecMaciej DąbrowskiAdam WitkowskiDariusz DudekMarek GrygierStanisław BartuśTermedia Publishing Housearticlecoronary chronic total occlusion percutaneous coronary intervention hybrid algorithm.MedicineRENAdvances in Interventional Cardiology, Vol 17, Iss 1, Pp 6-20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	coronary chronic total occlusion percutaneous coronary intervention hybrid algorithm. Medicine R
spellingShingle	coronary chronic total occlusion percutaneous coronary intervention hybrid algorithm. Medicine R Leszek Bryniarski Maksymilian P. Opolski Jarosław Wójcik Maciej Lesiak Tomasz Pawłowski Jakub Drozd Wojciech Wojakowski Sławomir Surowiec Maciej Dąbrowski Adam Witkowski Dariusz Dudek Marek Grygier Stanisław Bartuś Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society
description	Coronary chronic total occlusions (CTO) are increasingly encountered during invasive and non-invasive coronary angiography and remain the most challenging lesions for percutaneous revascularization. During recent years success rates and safety outcomes of CTO percutaneous coronary intervention (PCI) have substantially improved, particularly due to the introduction of new techniques and dedicated equipment as well as specialized training programs of CTO operators. Significantly, the steady advances in CTO PCI techniques have coincided with the new data from randomized clinical trials supporting the role of percutaneous recanalization of CTO in relieving angina and improving the quality of life. The current expert consensus document outlines the rationale, clinical outcomes as well as technical, safety and reimbursement issues of CTO PCI. In addition, the requirements for achieving and maintaining competency in CTO PCI among interventional cardiologists are discussed. Finally, we present the modified hybrid algorithm (the so-called Polish hybrid algorithm) providing some unique refinements to the contemporary CTO PCI strategies. Continuous efforts (including active engagement with the payer) are urgently needed to increase guideline-recommended referrals to CTO PCI, and thus improve the quality of life of CTO patients in Poland.
format	article
author	Leszek Bryniarski Maksymilian P. Opolski Jarosław Wójcik Maciej Lesiak Tomasz Pawłowski Jakub Drozd Wojciech Wojakowski Sławomir Surowiec Maciej Dąbrowski Adam Witkowski Dariusz Dudek Marek Grygier Stanisław Bartuś
author_facet	Leszek Bryniarski Maksymilian P. Opolski Jarosław Wójcik Maciej Lesiak Tomasz Pawłowski Jakub Drozd Wojciech Wojakowski Sławomir Surowiec Maciej Dąbrowski Adam Witkowski Dariusz Dudek Marek Grygier Stanisław Bartuś
author_sort	Leszek Bryniarski
title	Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society
title_short	Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society
title_full	Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society
title_fullStr	Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society
title_full_unstemmed	Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society
title_sort	chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the association of cardiovascular interventions of the polish cardiac society
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/1200e50e88c040a48022a5fa0db8a6c1
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Chronic total occlusion percutaneous coronary intervention in everyday clinical practice – an expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society

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