Skip to main content
SpringerLink
Log in

Chronic Total Occlusions

  • Chapter
  • First Online:
The Interventional Cardiology Training Manual

  • 1378 Accesses

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sianos G, Werner GS, Galassi AR, et al. Recanalisation of chronic total coronary occlusions: 2012 consensus document from the EuroCTO club. EuroIntervention. 2012;8(1):139–45.

    PubMed  Google Scholar 

  2. Christofferson RD, Lehmann KG, Martin GV, Every N, Caldwell JH, Kapadia SR. Effect of chronic total coronary occlusion on treatment strategy. Am J Cardiol. 2005;95(9):1088–91.

    PubMed  Google Scholar 

  3. Kahn JK. Angiographic suitability for catheter revascularization of total coronary occlusions in patients from a community hospital setting. Am Heart J. 1993;126(3 Pt 1):561–4.

    CAS  PubMed  Google Scholar 

  4. Anderson HV, Shaw RE, Brindis RG, et al. A contemporary overview of percutaneous coronary interventions. The American College of Cardiology-National Cardiovascular Data Registry (ACC-NCDR). J Am Coll Cardiol. 2002;39(7):1096–103.

    PubMed  Google Scholar 

  5. Williams DO, Holubkov R, Yeh W, et al. Percutaneous coronary intervention in the current era compared with 1985-1986: the National Heart, Lung, and Blood Institute Registries. Circulation. 2000;102(24):2945–51.

    CAS  PubMed  Google Scholar 

  6. Silber S, Albertsson P, Aviles FF, et al. Guidelines for percutaneous coronary interventions. The Task Force for Percutaneous Coronary Interventions of the European Society of Cardiology. Eur Heart J. 2005;26(8):804–47.

    PubMed  Google Scholar 

  7. Smith SC Jr, Feldman TE, Hirshfeld JW Jr, et al. ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention—summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI writing committee to update the 2001 guidelines for percutaneous coronary intervention). Circulation. 2006;113(1):156–75.

    PubMed  Google Scholar 

  8. Grantham JA, Jones PG, Cannon L, Spertus JA. Quantifying the early health status benefits of successful chronic total occlusion recanalization: results from the FlowCardia’s Approach to Chronic Total Occlusion Recanalization (FACTOR) Trial. Circ Cardiovasc Qual Outcomes. 2010;3(3):284–90.

    PubMed  Google Scholar 

  9. George S, Cockburn J, Clayton T, Ludman P, Cotton J, Spratt J, Redwood S, de Belder M, de Belder A, Hill J, Hoye A, Palmer N, Rathore S, Gershlick AH, Di Mario C, Hildick-Smith D. Long-term follow-up of elective chronic total coronary occlusion angioplasty. Analysis from the UK Central Cardiac Audit Database. J Am Coll Cardiol. 2014;64:235–43.

    PubMed  Google Scholar 

  10. Melchior JP, Doriot PA, Chatelain P, et al. Improvement of left ventricular contraction and relaxation synchronism after recanalization of chronic total coronary occlusion by angioplasty. J Am Coll Cardiol. 1987;9(4):763–8.

    CAS  PubMed  Google Scholar 

  11. Sirnes PA, Myreng Y, Molstad P, Bonarjee V, Golf S. Improvement in left ventricular ejection fraction and wall motion after successful recanalization of chronic coronary occlusions. Eur Heart J. 1998;19(2):273–81.

    CAS  PubMed  Google Scholar 

  12. Werner GS, Surber R, Kuethe F, et al. Collaterals and the recovery of left ventricular function after recanalization of a chronic total coronary occlusion. Am Heart J. 2005;149(1):129–37.

    PubMed  Google Scholar 

  13. Dzavik V, Carere RG, Mancini GB, et al. Predictors of improvement in left ventricular function after percutaneous revascularization of occluded coronary arteries: a report from the Total Occlusion Study of Canada (TOSCA). Am Heart J. 2001;142(2):301–8.

    CAS  PubMed  Google Scholar 

  14. Valenti R, Migliorini A, Signorini U, et al. Impact of complete revascularization with percutaneous coronary intervention on survival in patients with at least one chronic total occlusion. Eur Heart J. 2008;29(19):2336–42.

    PubMed  Google Scholar 

  15. Elhendy A, Cornel JH, Roelandt JR, et al. Impact of severity of coronary artery stenosis and the collateral circulation on the functional outcome of dyssynergic myocardium after revascularization in patients with healed myocardial infarction and chronic left ventricular dysfunction. Am J Cardiol. 1997;79(7):883–8.

    CAS  PubMed  Google Scholar 

  16. Kirschbaum SW, Baks T, van den Ent M, et al. Evaluation of left ventricular function three years after percutaneous recanalization of chronic total coronary occlusions. Am J Cardiol. 2008;101(2):179–85.

    PubMed  Google Scholar 

  17. 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(2):270–4.

    CAS  PubMed  Google Scholar 

  18. Hoye A, van Domburg RT, Sonnenschein K, Serruys PW. Percutaneous coronary intervention for chronic total occlusions: the Thoraxcenter experience 1992–2002. Eur Heart J. 2005;26(24):2630–6.

    PubMed  Google Scholar 

  19. Olivari Z, Rubartelli P, Piscione F, et al. Immediate results and one-year clinical outcome after percutaneous coronary interventions in chronic total occlusions: data from a multicenter, prospective, observational study (TOAST-GISE). J Am Coll Cardiol. 2003;41(10):1672–8.

    PubMed  Google Scholar 

  20. Suero JA, Marso SP, Jones PG, et al. 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(2):409–14.

    CAS  PubMed  Google Scholar 

  21. Hannan EL, Racz M, Holmes DR, et al. Impact of completeness of percutaneous coronary intervention revascularization on long-term outcomes in the stent era. Circulation. 2006;113(20):2406–12.

    PubMed  Google Scholar 

  22. van der Schaaf RJ, Vis MM, Sjauw KD, et al. Impact of multivessel coronary disease on long-term mortality in patients with ST-elevation myocardial infarction is due to the presence of a chronic total occlusion. Am J Cardiol. 2006;98(9):1165–9.

    PubMed  Google Scholar 

  23. Moreno R, Conde C, Perez-Vizcayno MJ, et al. Prognostic impact of a chronic occlusion in a noninfarct vessel in patients with acute myocardial infarction and multivessel disease undergoing primary percutaneous coronary intervention. J Invasive Cardiol. 2006;18(1):16–9.

    PubMed  Google Scholar 

  24. Shaw LJ, Berman DS, Maron DJ, et al. Optimal medical therapy with or without percutaneous coronary intervention to reduce ischemic burden: results from the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial nuclear substudy. Circulation. 2008;117(10):1283–91.

    PubMed  Google Scholar 

  25. Morino Y, Abe M, Morimoto T, et al. Predicting successful guidewire crossing through chronic total occlusion of native coronary lesions within 30 minutes: the J-CTO (Multicenter CTO Registry in Japan) score as a difficulty grading and time assessment tool. JACC Cardiovasc Interv. 2011;4(2):213–21.

    PubMed  Google Scholar 

  26. Christopoulos G, Wyman RM, Alaswad K, et al. Clinical utility of the Japan-chronic total occlusion score in coronary chronic total occlusion interventions: results from a multicenter registry. Circ Cardiovasc Interv. 2015;8(7):e002171.

    PubMed  Google Scholar 

  27. Di Mario C, Werner GS, Sianos G, et al. European perspective in the recanalisation of Chronic Total Occlusions (CTO): consensus document from the EuroCTO Club. EuroIntervention. 2007;3(1):30–43.

    PubMed  Google Scholar 

  28. McEntegart M, Spratt JC. Procedure planning for chronic total occlusion percutaneous coronary intervention. Interv Cardiol. 2013;5(5):549–57.

    Google Scholar 

  29. Singh M, Bell MR, Berger PB, Holmes DR Jr. Utility of bilateral coronary injections during complex coronary angioplasty. J Invasive Cardiol. 1999;11(2):70–4.

    CAS  PubMed  Google Scholar 

  30. Brilakis ES, Grantham JA, Rinfret S, et al. A percutaneous treatment algorithm for crossing coronary chronic total occlusions. JACC Cardiovasc Interv. 2012;5(4):367–79.

    PubMed  Google Scholar 

  31. Sianos G, Konstantinidis NV, Di MC, Karvounis H. Theory and practical based approach to chronic total occlusions. BMC Cardiovasc Disord. 2016;16:33.

    PubMed  PubMed Central  Google Scholar 

  32. Kahn JK, Hartzler GO. Retrograde coronary angioplasty of isolated arterial segments through saphenous vein bypass grafts. Catheter Cardiovasc Diagn. 1990;20(2):88–93.

    CAS  Google Scholar 

  33. Surmely JF, Katoh O, Tsuchikane E, Nasu K, Suzuki T. Coronary septal collaterals as an access for the retrograde approach in the percutaneous treatment of coronary chronic total occlusions. Catheter Cardiovasc Interv. 2007;69(6):826–32.

    PubMed  Google Scholar 

  34. Surmely JF, Tsuchikane E, Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique. J Invasive Cardiol. 2006;18(7):334–8.

    PubMed  Google Scholar 

  35. Rentrop KP, Cohen M, Blanke H, Phillips RA. Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects. J Am Coll Cardiol. 1985;5(3):587–92.

    CAS  PubMed  Google Scholar 

  36. Werner GS, Ferrari M, Heinke S, et al. Angiographic assessment of collateral connections in comparison with invasively determined collateral function in chronic coronary occlusions. Circulation. 2003;107(15):1972–7.

    PubMed  Google Scholar 

  37. Rathore S, Katoh O, Matsuo H, Terashima M, Tanaka N, Kinoshita Y, Kimura M, Tsuchikane E, Nasu K, Ehara M, Asakura K, Asakura Y, Suzuki T. Retrograde percutaneous recanalization of chronic Total occlusion of coronary arteries: procedural outcomes and predictors of success in contemporary practice. Circ Cardiovasc Interv. 2009;2:124–32.

    PubMed  Google Scholar 

  38. Joyal D, Thompson CA, Grantham JA, Buller CEH, Rinfert S. The retrograde tecnhique for recanalization of chronic total occlusions: a step-by-step approach. JACC Cardiovasc Interv. 2012;5(1):1–12.

    PubMed  Google Scholar 

  39. Dautov R, Urena M, Nguyen CM, Gibrat C, Rinfert S. Safety and effectiveness of the surfing technique to cross septal collateral channels during retrograde chronic total occlusion percutaneous coronary intervention. Eurointervention. 2016;Jaa-015-2016. https://doi.org/10.4244/EIJ-D-6-00650.

  40. Galassi AF, Tomasello SD, Reifart N, et al. In-hospital outcomes of percutaoneous coronary intervention in patients with chronic total occlusions: insights from the ERCTO (European Registry of Chronic Total Occlusion) registry. EuroIntervention. 2011;7(4):472–9.

    PubMed  Google Scholar 

  41. Patel VG, Bryaton KM, Tamayo A, MOgabgab O, MIchael TT, Lo N, Alomar M, Shorrock D, Cipher D, Abdullah S, Banerjee S, Brilakis ES. Angiographic success and procedural complications in patients undergoing percutaneous coronary chronic Total occlusion interventions: a weighted meta-analysis of 18,061 patients from 65 studies. JACC Cardiovasc Interv. 2013;6(2):128–36.

    PubMed  Google Scholar 

  42. Galassi AF, Sianos G, Werner GS, et al. Retrograde recanalization of chronic total occlusions in Europe: procedural, in-hospital and long term outcomes from the multi-Centre ERCTO Registry. J Am Coll Cardiol. 2015;65(22):2388–400.

    PubMed  Google Scholar 

  43. Rathore S, Katoh O, Tuschikane E, Oida A, Suzuki T, Takase S. A novel modification of the retrograde approach for the recanalization of chronic total occlusion of the coronary arteries intravascular ultrasound-guided reverse controlled antegrade and retrograde tracking. JACC Cardiovasc Interv. 2010;3(2):155–64.

    PubMed  Google Scholar 

  44. Wang K, Chen C, Chen Y, Tsai J, Lin W, Cheng H, Yeh H, Hou CJ. Improving success rates of percutaneous coronary intervention for chronic total occlusion at a rural Hospital in East Taiwan. Int J Gerontol. 2014;8(3):157–61.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK

    Rohit Sirohi, Amerjeet Banning & Anthony H. Gershlick

Authors
  1. Rohit Sirohi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Amerjeet Banning
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Anthony H. Gershlick
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Anthony H. Gershlick .

Editor information

Editors and Affiliations

  1. Brighton and Sussex Medical School and the Sussex Cardiac Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK

    Aung Myat

  2. Royal Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge, UK

    Sarah Clarke

  3. Wessex Cardiothoracic Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK

    Nick Curzen

  4. Department of Cardiology, Bern University Hospital, Bern, Switzerland

    Stephan Windecker

  5. Inova Center for Thrombosis Research and Drug Development, Inova Heart and Vascular Institute, Falls Church, VA, USA

    Paul A. Gurbel

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sirohi, R., Banning, A., Gershlick, A.H. (2018). Chronic Total Occlusions. In: Myat, A., Clarke, S., Curzen, N., Windecker, S., Gurbel, P.A. (eds) The Interventional Cardiology Training Manual. Springer, Cham. https://doi.org/10.1007/978-3-319-71635-0_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-71635-0_28

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71633-6

  • Online ISBN: 978-3-319-71635-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation