| Title: |
The Impact of Calcium on Chronic Total Occlusion Management. |
| Authors: |
Cosgrove, C; Mahadevan, K; Spratt, JC; McEntegart, M |
| Publisher Information: |
Radcliffe Cardiology |
| Publication Year: |
2021 |
| Collection: |
St George's University of London: Repository |
| 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. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
1756-1485 |
| Relation: |
https://openaccess.sgul.ac.uk/id/eprint/113873/1/icr-16-e30.pdf; Cosgrove, C; Mahadevan, K; Spratt, JC; McEntegart, M (2021) The Impact of Calcium on Chronic Total Occlusion Management. Interv Cardiol, 16. e30. ISSN 1756-1485 https://doi.org/10.15420/icr.2021.01 SGUL Authors: Spratt, James |
| Availability: |
https://openaccess.sgul.ac.uk/id/eprint/113873/; https://dx.doi.org/10.15420%2Ficr.2021.01 |
| Rights: |
cc_by_nc_4 |
| Accession Number: |
edsbas.17CA1048 |
| Database: |
BASE |