Chronic Total Occlusion

Case Report

Endovascular Revascularization of Native Arteries After Bypass Graft Failure in Patients With Critical Limb Ischemia

06/08/2020

Daniel Raskin, MD¹; Boris Khaitovich, MD¹; Shmuel Balan, RT¹; Daniel Silverberg, MD²;Moshe Halak, MD²; Uri Rimon, MD¹

¹Department of Diagnostic Imaging and ²Department of Vascular Surgery, Division of Surgery, Sheba Medical Center, Tel-Hashomer, Israel; Affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel

Daniel Raskin, MD1; Boris Khaitovich,...

This study reports technical success and short-term outcome following recanalization of native infrainguinal arteries after bypass graft failure in patients with CLI.

This study reports technical...

06/08/2020

Vascular Disease Management

Letter from the Editor

Use of the DyeVert System in Chronic Total Occlusion Percutaneous Coronary Intervention

08/27/2019

Peter Tajti, MD^1,2; Iosif Xenogiannis, MD¹; Allison Hall, MD¹; M. Nicholas Burke, MD¹; Ivan Chavez, MD¹; Santiago Garcia, MD¹; Mario Gössl, MD, PhD¹; Michael Mooney, MD¹; Anil Poulose, MD¹; Paul Sorajja, MD¹; Yale Wang, MD¹; Evangelia Vemmou, MD¹; Ilias Nikolakopoulos, MD¹; Pamela Morley, RN¹; Bavana V. Rangan, BDS, MPH¹; Imre Ungi, MD, PhD²; Emmanouil S. Brilakis, MD, PhD¹

Peter Tajti, MD1,2; Iosif Xenogianni...

CTO-PCI often requires administration of large contrast volume. The DyeVert system (Osprey Medical, Inc) is a device that interfaces with standard manifold systems to reduce the amount of contrast used. We compared the procedural outcomes of...

CTO-PCI often requires...

08/27/2019

Journal of Invasive Cardiology

Endovascular Techniques

Safety and Efficacy of Lithoplasty in Treating Severely Calcified Iliac Arterial Disease: A Single Center Experience

06/14/2019

Qais Radaideh, MD; Nicolas W Shammas, MD, MS; Gail A Shammas, BSN, RN; John Shammas, BS

The Midwest Cardiovascular Research Foundation, Davenport, Iowa

Qais Radaideh, MD; Nicolas W Shammas,...

Shammas and colleagues present 7 patients with iliac artery disease treated with Shockwave lithoplasty prior to definitive treatment with stenting. High acute procedural success was noted with no complications.

Shammas and colleagues present 7...

06/14/2019

Vascular Disease Management

Case Report

The Nature of Dissections in Infrapopliteal Arteries: Insights from Intravascular Ultrasound Imaging

04/18/2019

Nicolas W Shammas, MD; W John Shammas, BS; Ehrin Armstrong, MD; Qais Radaideh, MD; Gail A Shammas, BS, RN

The Midwest Cardiovascular Research Foundation, Davenport, Iowa

Nicolas W Shammas, MD; W John Shammas...

Shammas and colleagues discuss how treatment of infrapopliteal arteries can be challenging due to the presence of medial calcinosis and fibrotic rings.

Shammas and colleagues discuss...

04/18/2019

Vascular Disease Management

A Percutaneous Crossing Algorithm for Femoropopliteal and Tibial Artery Chronic Total Occlusions (PCTO Algorithm)

03/28/2019

Subhash Banerjee, MD^1,2; Mehdi H. Shishehbor, DO, MPH, PhD³; Jihad A. Mustapha, MD⁴; Ehrin J. Armstrong, MD, MSc^5,6; Mohammad Ansari, MD⁷; John H. Rundback, MD⁸; Bryan Fisher, MD⁹; Constantino S. Peña, MD¹⁰; Emmanouil S. Brilakis, MD, PhD^2,11; Arthur C. Lee, MD¹²; Sahil Parikh, MD¹³

Subhash Banerjee, MD1,2; Mehdi H. Sh...

This review outlines a contemporary ultrasound-based approach to crossing femoropopliteal PCTOs based on a review of prospectively collected case report surveys, published evidence, and expert opinion compiled by the writing group members.

This review outlines a...

03/28/2019

Journal of Invasive Cardiology

Right Ventricular Wall Hematoma Following Angioplasty to RCA Occlusion

03/27/2019

Mina S.A. Ghobrial, BMedSci, MBChB (Hons), MRCP¹ and Mohaned Egred, BSc (Hons), MBChB, MD^1,2

Mina S.A. Ghobrial, BMedSci, MBChB (H...

Right ventricle intramural hematoma is a rare complication of right coronary artery PCI. With the increased uptake and prevalence of complex chronic total occlusion interventions, unusual complications will continue to occur; sharing and...

Right ventricle intramural...

03/27/2019

Journal of Invasive Cardiology

Original Research

Single Access Versus Dual Antegrade and Retrograde Access Approach for Chronic Total Occlusion Recanalization in Complex Peripheral Arterial Disease

02/22/2019

Joji J. Varghese, MD¹; Bailey Ann Estes, RN-C¹; Brad J. Martinsen, PhD²; Zsuzsanna Igyarto, PhD²; Jihad A. Mustapha, MD³

¹Hendrick Medical Center, Abilene, Texas;²Cardiovascular Systems, Inc., St. Paul, Minnesota; ³Advanced Cardiac & Vascular Amputation Prevention Centers, Grand Rapids, Michigan

Joji J. Varghese, MD1; Bailey Ann Est...

In this study, researchers evaluated the efficacy and safety of initial dual antegrade and retrograde access approach compared with single antegrade or retrograde approach for crossing any level of CTO.

In this study, researchers...

02/22/2019

Vascular Disease Management

Frequency and Outcomes of Ad Hoc Versus Planned Chronic Total Occlusion Percutaneous Coronary Intervention: Multicenter Experience

01/14/2019

For patients needing coronary chronic total occlusion (CTO) percutaneous coronary intervention (PCI), a planned, staged intervention has been recommended by experts. Ad hoc CTO-PCI, however, occurs in practice. Sandoval et al examined the...

For patients needing coronary...

01/14/2019

Journal of Invasive Cardiology

Clinical Images

"Single Arm-Double Access" for CTO Intervention

12/27/2018

Michael Koutouzis, MD, PhD; Eleftherios Kontopodis, MD; Andreas Tassopoulos, MD; Ioannis Tsiafoutis, MD; Nikolaos Oikonomidis, MD; Efstathios Lazaris, MD

Michael Koutouzis, MD, PhD; Elefther...

A dual-access approach for CTO intervention using transradial and ipsilateral transulnar access is reported. Although retrograde CTO intervention is a challenging procedure, a single arm-double access approach seems to be a feasible...

A dual-access approach for CTO...

12/27/2018

Journal of Invasive Cardiology

Clinical Images

Four-Layer Stent Sandwich for Recurrent In-Stent Occlusion of the Right Coronary Artery: "The Four Musketeers" Fighting for Coronary Flow

09/26/2018

Kajetan Grodecki, MS¹; Artur Debski, MD²; Adam Witkowski, MD, PhD²; Maksymilian P. Opolski, MD, PhD²

Kajetan Grodecki, MS1; Artur Debski,...

A 70-year-old man with a history of two successfully treated in-stent chronic total occlusions (IS-CTO) of the ostial right coronary artery (RCA) using drug-eluting stents presented with typical angina.

A 70-year-old man with a history...

09/26/2018

Journal of Invasive Cardiology