The Impact of Calcium on Chronic Total Occlusion Management

Coronary artery calcification is prevalent in chronic total occlusions (CTO), particularly in those of longer duration and post-coronary artery bypass. The presence of calcium predicts lower procedural success rates and a higher risk of complications of CTO percutaneous coronary intervention. Adjunc...

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Autores principales:	Claudia Cosgrove, Kalaivani Mahadevan, James C Spratt, Margaret McEntegart
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/2d26e623d6be459580a6d6c80c2a3881
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spelling	oai:doaj.org-article:2d26e623d6be459580a6d6c80c2a38812021-12-04T16:05:06ZThe Impact of Calcium on Chronic Total Occlusion Management10.15420/icr.2021.011756-14851756-1477https://doaj.org/article/2d26e623d6be459580a6d6c80c2a38812021-10-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2021.01https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Coronary artery calcification is prevalent in chronic total occlusions (CTO), particularly in those of longer duration and post-coronary artery bypass. The presence of calcium predicts lower procedural success rates and a higher risk of complications of CTO percutaneous coronary intervention. Adjunctive imaging, including pre-procedural computed tomography and intracoronary imaging, are useful to understand the distribution and morphology of the calcium. Specialised guidewires and microcatheters, as well as penetration, subintimal entry and luminal re-entry techniques, are required to cross calcific CTOs. The use of both atherectomy devices and balloon-based calcium modification tools has been reported during CTO percutaneous coronary intervention, although they are limited by concerns regarding safety and efficacy in the subintimal space.Claudia CosgroveKalaivani MahadevanJames C SprattMargaret McEntegartRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 16, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Claudia Cosgrove Kalaivani Mahadevan James C Spratt Margaret McEntegart The Impact of Calcium on Chronic Total Occlusion Management
description	Coronary artery calcification is prevalent in chronic total occlusions (CTO), particularly in those of longer duration and post-coronary artery bypass. The presence of calcium predicts lower procedural success rates and a higher risk of complications of CTO percutaneous coronary intervention. Adjunctive imaging, including pre-procedural computed tomography and intracoronary imaging, are useful to understand the distribution and morphology of the calcium. Specialised guidewires and microcatheters, as well as penetration, subintimal entry and luminal re-entry techniques, are required to cross calcific CTOs. The use of both atherectomy devices and balloon-based calcium modification tools has been reported during CTO percutaneous coronary intervention, although they are limited by concerns regarding safety and efficacy in the subintimal space.
format	article
author	Claudia Cosgrove Kalaivani Mahadevan James C Spratt Margaret McEntegart
author_facet	Claudia Cosgrove Kalaivani Mahadevan James C Spratt Margaret McEntegart
author_sort	Claudia Cosgrove
title	The Impact of Calcium on Chronic Total Occlusion Management
title_short	The Impact of Calcium on Chronic Total Occlusion Management
title_full	The Impact of Calcium on Chronic Total Occlusion Management
title_fullStr	The Impact of Calcium on Chronic Total Occlusion Management
title_full_unstemmed	The Impact of Calcium on Chronic Total Occlusion Management
title_sort	impact of calcium on chronic total occlusion management
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/2d26e623d6be459580a6d6c80c2a3881
work_keys_str_mv	AT claudiacosgrove theimpactofcalciumonchronictotalocclusionmanagement AT kalaivanimahadevan theimpactofcalciumonchronictotalocclusionmanagement AT jamescspratt theimpactofcalciumonchronictotalocclusionmanagement AT margaretmcentegart theimpactofcalciumonchronictotalocclusionmanagement AT claudiacosgrove impactofcalciumonchronictotalocclusionmanagement AT kalaivanimahadevan impactofcalciumonchronictotalocclusionmanagement AT jamescspratt impactofcalciumonchronictotalocclusionmanagement AT margaretmcentegart impactofcalciumonchronictotalocclusionmanagement
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The Impact of Calcium on Chronic Total Occlusion Management

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