Chronic Total Occlusion

Case Series

Techniques of Mesenteric Artery Recanalization for Chronic Mesenteric Ischemia

07/12/2023

Sitaram Barath, MD, FNVIR¹; Virendra Meena, MD¹; Shikhar Singh, MD²

¹Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India; ²Aarthi Scans & Labs, Delhi, India

Sitaram Barath, MD, FNVIR1; Virendra ...

In this case series, the authors describe the technical nuances of successful revascularization in chronic mesenteric ischemia caused by stenosis, occlusion, or dissection of the superior mesenteric artery.

In this case series, the authors...

07/12/2023

Vascular Disease Management

Original Contribution

Frequency and Outcomes of Ad Hoc Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry

07/06/2023

Bahadir Simsek, MD¹; Athanasios Rempakos, MD¹; Spyridon Kostantinis, MD¹; Judit Karacsonyi, MD, PhD¹; Stephane Rinfret, MD, SM²; Wissam Jaber, MD²; William Nicholson, MD²; Sevket Gorgulu, MD³; Khaldoon Alaswad, MD⁴; Jaikirshan Khatri, MD⁵; Paul Poommipanit, MD⁶; Nazif Aygul, MD⁷; Oleg Krestyaninov, MD⁸; Dmitrii Khelimskii, MD⁸; Barry Uretsky, MD⁹; Omer Goktekin, MD¹⁰; Philip Dattilo, MD¹¹; Srinivasa Potluri, MD¹²; Karim Al-Azizi, MD¹²; Olga C. Mastrodemos, BA¹; Bavana V. Rangan, BDS, MPH¹; Salman S. Allana, MD¹; Yader Sandoval, MD¹; M. Nicholas Burke, MD¹; Emmanouil S. Brilakis, MD, PhD¹

Bahadir Simsek, MD1; Athanasios Rempa...

Although discouraged, ad hoc chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is occasionally performed. We examined the clinical, angiographic characteristics, and procedural outcomes of patients who underwent ad hoc...

Although discouraged, ad hoc...

07/06/2023

Journal of Invasive Cardiology

Clinical Images

Intrapericardial Blood Re-transfused to Venous Circulation Through a Closed Circuit: A Life-Saving Management of Hemopericardium

06/02/2023

John Papanikolaou, MD, PhD¹; Dimitrios Karelas, MD²; Grigorios Syrmos, MD³; Nikolaos Platogiannis, MD⁴

John Papanikolaou, MD, PhD1; Dimitrio...

A 78-year-old male developed hemopericardium and hemodynamic collapse after an unsuccessful chronic total occlusion percutaneous coronary intervention (CTO-PCI). Echocardiographically-assisted emergent subxiphoid pericardiocentesis was...

A 78-year-old male developed...

06/02/2023

Journal of Invasive Cardiology

Original Contribution

Use of Bivalirudin for Chronic Total Occlusion Percutaneous Intervention: Insights From the PROGRESS-CTO Registry

04/01/2023

Louis Verreault-Julien, MD, MPH¹; Bahadir Simsek, MD²; Spyridon Kostantinis, MD²; Athanasios Rempakos, MD²; Judit Karacsonyi, MD, PhD²; Taral N. Patel, MD³; Brian K. Jefferson, MD³; Mitul Patel, MD⁴; Paul B. Poommipanit, MD⁵; Barry F. Uretsky, MD⁶; Khaldoon Alaswad, MD⁷; Sevket Gorgulu, MD⁸; Omer Goktekin, MD⁹; Jaikirshan Khatri, MD¹⁰; Dmitrii Khelimskii, MD¹¹; Oleg Krestyaninov, MD¹¹; Salman Allana, MD²; Stéphane Rinfret, MD, SM¹; William J. Nicholson, MD¹; Emmanouil S. Brilakis, MD, PhD²; Wissam A. Jaber, MD¹

Louis Verreault-Julien, MD, MPH1; Ba...

The authors compare clinical outcomes – including major adverse cardiac events and vascular complications – of CTO-PCIs performed using bivalirudin vs unfractionated heparin.

The authors compare clinical...

04/01/2023

Journal of Invasive Cardiology

Review

Update on Chronic Total Occlusion Percutaneous Coronary Intervention

04/01/2023

Athanasios Rempakos, MD¹; Spyridon Kostantinis, MD¹; Bahadir Simsek, MD¹; Judit Karacsonyi, MD, PhD¹; Masahisa Yamane, MD²; Khaldoon Alaswad, MD³; Mir Basir, MD³; Rhian Davies, DO⁴; Stewart M. Benton, Jr, MD⁴; James Choi, MD⁵; Sevket Gorgulu, MD⁶; Jaikirshan J. Khatri, MD⁷; William Nicholson, MD⁸; Stephane Rinfret, MD⁸; Wissam Jaber, MD⁸; Mohaned Egred, MD⁹; Anastasios Milkas, MD¹⁰; Bavana V. Rangan, BDS, MPH¹; Olga C. Mastrodemos, BA¹; Yader Sandoval, MD¹; Salman Allana, MD¹; M. Nicholas Burke, MD¹; Emmanouil S. Brilakis, MD, PhD¹

Athanasios Rempakos, MD1; Spyridon K...

Percutaneous coronary intervention of chronic total occlusion lesions can be challenging to perform. In this review, the authors summarize recent publications on CTO-PCI grouped according to indications, outcomes, technique, and complications.

Percutaneous coronary...

04/01/2023

Journal of Invasive Cardiology

Clinical Images

Percutaneous Coronary Intervention for Left Main Chronic Total Occlusion: Unprotected or Protected Case?

04/01/2023

Marin Pavlov, MD, PhD and Tomislava Bodrozic Dzakic, MD

Marin Pavlov, MD, PhD and Tomislava B...

A 60-year-old male with chronic obstructive pulmonary disease and active smoking was admitted for positive treadmill test. He reported exertional chest pain 4 months ago; however, since then he had been symptom free. Echocardiography showed...

A 60-year-old male with chronic...

04/01/2023

Journal of Invasive Cardiology

Clinical Images

Chronic Total Occlusion Techniques to Recanalize an Occluded Pulmonary Vein After Atrial Fibrillation Ablation

04/01/2023

Borja Rivero-Santana, MD; Alfonso Jurado-Roman, MD, PhD; Santiago Jimenez-Valero, MD, PhD; Guillermo Galeote, MD, PhD; Raul Moreno, MD, PhD; Jose Luis Merino, MD, PhD

Borja Rivero-Santana, MD; Alfonso Ju...

A 69-year-old male with atrial fibrillation radiofrequency ablation 2 years ago was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. A cardiac computed tomography (CT) scan...

A 69-year-old male with atrial...

04/01/2023

Journal of Invasive Cardiology

Brief Communication

Body Mass Index and Chronic Total Occlusion Percutaneous Coronary Intervention Outcomes: Is Overweight the New Normal?

03/01/2023

Bahadir Simsek, MD¹; Spyridon Kostantinis, MD¹; Judit Karacsonyi, MD, PhD¹; Khaldoon Alaswad, MD²; Rhian E. Davies, MD³; Farouc A. Jaffer, MD, PhD⁴; Darshan Doshi, MD⁴; Lorenzo Azzalini, MD, PhD⁵; Jaikirshan Khatri, MD⁶; Emmanouil S. Brilakis, MD, PhD¹

Bahadir Simsek, MD1; Spyridon Kostan...

Although high body mass index (BMI) is a known risk factor for the development of cardiovascular diseases, people who are overweight or obese often have better outcomes after cardiac procedures. Whether this "obesity paradox" is observed in...

Although high body mass index...

03/01/2023

Journal of Invasive Cardiology

Original Contribution

Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry

02/01/2023

Spyridon Kostantinis, MD¹; Bahadir Simsek, MD¹; Judit Karacsonyi, MD, PhD¹; Athanasios Rempakos, MD¹; Khaldoon Alaswad, MD²; Farouc A. Jaffer, MD, PhD³; Jaikirshan J. Khatri, MD⁴; Paul Poommipanit, MD⁵; Rhian E. Davies, DO⁶; Stephane Rinfret, MD⁷; William Nicholson, MD⁷; Wissam Jaber, MD⁷; James W. Choi, MD⁸; Mitul P. Patel, MD⁹; Michael Koutouzis, MD¹⁰;
Ioannis Tsiafoutis, MD¹⁰; Sevket Gorgulu, MD¹¹; Taral N. Patel, MD¹²; Brian K. Jefferson, MD¹²; Jimmy L. Kerrigan, MD¹³; Basem Elbarouni, MD¹⁴; Nidal Abi Rafeh, MD¹⁵; Omer Goktekin, MD¹⁶; Ahmed M. ElGuindy, MD¹⁷; Salman Allana, MD¹; Olga C. Mastrodemos, BA¹; Bavana V. Rangan, BDS, MPH¹; Yader Sandoval, MD¹; M. Nicholas Burke, MD¹; Emmanouil S. Brilakis, MD, PhD¹

Spyridon Kostantinis, MD1; Bahadir S...

Guidewires and microcatheters are critical to the success of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We examined equipment utilization in 11,202 CTO-PCIs performed in 10,952 patients at 42 United States (US)...

Guidewires and microcatheters...

02/01/2023

Journal of Invasive Cardiology

Original Contribution

Outcomes of Patients With Acute Coronary Syndromes Undergoing Chronic Total Occlusion Percutaneous Coronary Intervention

12/15/2022

Bahadir Simsek, MD¹; Spyridon Kostantinis, MD¹; Judit Karacsonyi, MD, PhD¹; Sevket Gorgulu, MD²; Khaldoon Alaswad, MD³; Farouc A. Jaffer, MD, PhD⁴; Darshan Doshi, MD⁴; Jaikirshan Khatri, MD⁵; Paul Poommipanit, MD⁶; Nazif Aygul, MD⁷; Nidal Abi Rafeh, MD⁸; Oleg Krestyaninov, MD⁹; Dmitrii Khelimskii, MD⁹; Barry Uretsky, MD¹⁰; Rhian Davies, MD¹¹; Omer Goktekin, MD¹²; Ahmed ElGuindy, MD¹³; Brian K. Jefferson, MD¹⁴; Taral N. Patel, MD¹⁴; Mitul Patel, MD¹⁵; Olga C. Mastrodemos, BA¹; Bavana V. Rangan, BDS, MPH¹; Salman Allana, MD¹; Yader Sandoval, MD¹; M. Nicholas Burke, MD¹; Emmanouil S. Brilakis, MD, PhD¹

Bahadir Simsek, MD1; Spyridon Kostan...

The prevalence and outcomes of patients who presented with an acute coronary syndrome (ACS) and underwent chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have received limited study. We examined the clinical...

The prevalence and outcomes of...

12/15/2022

Journal of Invasive Cardiology