Intravascular Ultrasound in Chronic Total Occlusion Percutaneous Coronary Intervention: Solving Ambiguity and Improving Durability

Megha Prasad; Akiko Maehara; Yousif Ahmad; Allen Jeremias; Evan Shlofmitz; Ajay J. Kirtane; Jeffrey W. Moses; Khady N. Fall; Gary S. Mintz; Dimitri Karmpaliotis; Ziad A. Ali

doi:10.1016/j.iccl.2020.09.006

Intravascular Ultrasound in Chronic Total Occlusion Percutaneous Coronary Intervention: Solving Ambiguity and Improving Durability

Megha Prasad, Akiko Maehara, Yousif Ahmad, Allen Jeremias, Evan Shlofmitz, Ajay J. Kirtane, Jeffrey W. Moses, Khady N. Fall, Gary S. Mintz, Dimitri Karmpaliotis, Ziad A. Ali

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

Chronic total occlusions remain among the most technically challenging lesions to treat percutaneously. Limitations of 2-dimensional angiography may further hinder successful treatment of these lesions. Intrasvascular ultrasound has a key role in percutaneous recanalization for a chronic total occlusion by providing key lesion characteristics, facilitating guidewire crossing, elucidating the intraplaque or extralaque path of the guidewire, optimizing lesion preparation, guiding stenting and identifying suboptimal results. Live visualization of the guidewire during crossing may reduce extraplaque wire tracking. This review describes the practical uses of intravascular imaging for commonly encountered scenarios when treating chronic total occlusions.

Original language	English
Pages (from-to)	75-85
Number of pages	11
Journal	Interventional Cardiology Clinics
Volume	10
Issue number	1
DOIs	https://doi.org/10.1016/j.iccl.2020.09.006
State	Published - Jan 2021
Externally published	Yes

Keywords

Chronic total occlusion
Extraplaque
Guidewire crossing
Hybrid algorithm
Intraplaque
Intravascular ultrasound

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10.1016/j.iccl.2020.09.006

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Prasad, M., Maehara, A., Ahmad, Y., Jeremias, A., Shlofmitz, E., Kirtane, A. J., Moses, J. W., Fall, K. N., Mintz, G. S., Karmpaliotis, D., & Ali, Z. A. (2021). Intravascular Ultrasound in Chronic Total Occlusion Percutaneous Coronary Intervention: Solving Ambiguity and Improving Durability. Interventional Cardiology Clinics, 10(1), 75-85. https://doi.org/10.1016/j.iccl.2020.09.006

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title = "Intravascular Ultrasound in Chronic Total Occlusion Percutaneous Coronary Intervention: Solving Ambiguity and Improving Durability",

abstract = "Chronic total occlusions remain among the most technically challenging lesions to treat percutaneously. Limitations of 2-dimensional angiography may further hinder successful treatment of these lesions. Intrasvascular ultrasound has a key role in percutaneous recanalization for a chronic total occlusion by providing key lesion characteristics, facilitating guidewire crossing, elucidating the intraplaque or extralaque path of the guidewire, optimizing lesion preparation, guiding stenting and identifying suboptimal results. Live visualization of the guidewire during crossing may reduce extraplaque wire tracking. This review describes the practical uses of intravascular imaging for commonly encountered scenarios when treating chronic total occlusions.",

keywords = "Chronic total occlusion, Extraplaque, Guidewire crossing, Hybrid algorithm, Intraplaque, Intravascular ultrasound",

author = "Megha Prasad and Akiko Maehara and Yousif Ahmad and Allen Jeremias and Evan Shlofmitz and Kirtane, {Ajay J.} and Moses, {Jeffrey W.} and Fall, {Khady N.} and Mintz, {Gary S.} and Dimitri Karmpaliotis and Ali, {Ziad A.}",

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2021",

month = jan,

doi = "10.1016/j.iccl.2020.09.006",

language = "English",

volume = "10",

pages = "75--85",

journal = "Interventional Cardiology Clinics",

issn = "2211-7458",

publisher = "Elsevier BV",

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Prasad, M, Maehara, A, Ahmad, Y, Jeremias, A, Shlofmitz, E, Kirtane, AJ, Moses, JW, Fall, KN, Mintz, GS, Karmpaliotis, D & Ali, ZA 2021, 'Intravascular Ultrasound in Chronic Total Occlusion Percutaneous Coronary Intervention: Solving Ambiguity and Improving Durability', Interventional Cardiology Clinics, vol. 10, no. 1, pp. 75-85. https://doi.org/10.1016/j.iccl.2020.09.006

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T2 - Solving Ambiguity and Improving Durability

AU - Prasad, Megha

AU - Maehara, Akiko

AU - Ahmad, Yousif

AU - Jeremias, Allen

AU - Shlofmitz, Evan

AU - Kirtane, Ajay J.

AU - Moses, Jeffrey W.

AU - Fall, Khady N.

AU - Mintz, Gary S.

AU - Karmpaliotis, Dimitri

AU - Ali, Ziad A.

PY - 2021/1

Y1 - 2021/1

N2 - Chronic total occlusions remain among the most technically challenging lesions to treat percutaneously. Limitations of 2-dimensional angiography may further hinder successful treatment of these lesions. Intrasvascular ultrasound has a key role in percutaneous recanalization for a chronic total occlusion by providing key lesion characteristics, facilitating guidewire crossing, elucidating the intraplaque or extralaque path of the guidewire, optimizing lesion preparation, guiding stenting and identifying suboptimal results. Live visualization of the guidewire during crossing may reduce extraplaque wire tracking. This review describes the practical uses of intravascular imaging for commonly encountered scenarios when treating chronic total occlusions.

AB - Chronic total occlusions remain among the most technically challenging lesions to treat percutaneously. Limitations of 2-dimensional angiography may further hinder successful treatment of these lesions. Intrasvascular ultrasound has a key role in percutaneous recanalization for a chronic total occlusion by providing key lesion characteristics, facilitating guidewire crossing, elucidating the intraplaque or extralaque path of the guidewire, optimizing lesion preparation, guiding stenting and identifying suboptimal results. Live visualization of the guidewire during crossing may reduce extraplaque wire tracking. This review describes the practical uses of intravascular imaging for commonly encountered scenarios when treating chronic total occlusions.

KW - Chronic total occlusion

KW - Extraplaque

KW - Guidewire crossing

KW - Hybrid algorithm

KW - Intraplaque

KW - Intravascular ultrasound

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DO - 10.1016/j.iccl.2020.09.006

M3 - Review article

C2 - 33223109

AN - SCOPUS:85096553475

SN - 2211-7458

VL - 10

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JO - Interventional Cardiology Clinics

JF - Interventional Cardiology Clinics

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Intravascular Ultrasound in Chronic Total Occlusion Percutaneous Coronary Intervention: Solving Ambiguity and Improving Durability

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Keywords

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