TY - JOUR
T1 - Utility of Intravascular Ultrasound in Percutaneous Revascularization of Chronic Total Occlusions
AU - Galassi, Alfredo Ruggero
AU - Christiansen, Evald H.
AU - Spratt, James C.
AU - Galassi, Alfredo R.
AU - Boukhris, Marouane
AU - Avran, Alexandre
AU - Gagnor, Andrea
AU - Garbo, Roberto
AU - Sumitsuji, Satoru
AU - Brilakis, Emmanouil S.
AU - Sianos, Georgios
AU - Di Mario, Carlo
AU - Werner, Gerald S.
PY - 2016
Y1 - 2016
N2 - Intravascular ultrasound has been used for >20 years to guide percutaneous coronary intervention in different subsets ofcoronary lesions. During the last decade, the interest in percutaneous coronary intervention for chronic total occlusion(CTO) has increased dramatically, leading to high success rates. Failure of guidewire crossing is the most common reason forfailed CTO attempts. Certain angiographic features, such as blunt proximal CTO cap, tortuosity, heavy calcification, and lackof visibility of path in the distal vessel, increase procedural difficulty. A better understanding of the behavior of theguidewire within the CTO segment may represent a key issue to achieve successful outcome. In this respect, intravascularultrasound imaging might have potential roles in the recanalization of CTOs. In this paper, we focused on the usefulnessand the applications of intravascular ultrasound imaging in percutaneous CTO recanalization, underlying its impact onclinical outcome. (J Am Coll Cardiol Intv 2016;9:1979–91) © 2016 by the American College of Cardiology Foundation
AB - Intravascular ultrasound has been used for >20 years to guide percutaneous coronary intervention in different subsets ofcoronary lesions. During the last decade, the interest in percutaneous coronary intervention for chronic total occlusion(CTO) has increased dramatically, leading to high success rates. Failure of guidewire crossing is the most common reason forfailed CTO attempts. Certain angiographic features, such as blunt proximal CTO cap, tortuosity, heavy calcification, and lackof visibility of path in the distal vessel, increase procedural difficulty. A better understanding of the behavior of theguidewire within the CTO segment may represent a key issue to achieve successful outcome. In this respect, intravascularultrasound imaging might have potential roles in the recanalization of CTOs. In this paper, we focused on the usefulnessand the applications of intravascular ultrasound imaging in percutaneous CTO recanalization, underlying its impact onclinical outcome. (J Am Coll Cardiol Intv 2016;9:1979–91) © 2016 by the American College of Cardiology Foundation
UR - http://hdl.handle.net/10447/440369
M3 - Article
VL - 9
SP - 1979
EP - 1991
JO - JACC: Cardiovascular Interventions
JF - JACC: Cardiovascular Interventions
SN - 1936-8798
ER -