Korean J Intern Med.
2024 Sep;39(5):702-716. 10.3904/kjim.2023.420.
Current evidence for prognostic benefit of intravascular imaging-guided percutaneous coronary intervention in chronic total occlusion intervention
- Hong D1
- Kim SE2
- Lee SH3
- Lee SJ4
- Lee JY4
- Kim SM5
- Lee SY6
- Kwon W1
- Choi KH1
- Park TK1
- Yang JH1
- Song YB1
- Choi SH1
- Gwon HC1
- Hahn JY1
- Lee JM
1 - The RENOVATE-COMPLEX-PCI Investigators1
- Affiliations
-
- 1Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 2Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea
- 3Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
- 4Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
- 5Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea
- 6Department of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong, Korea
- KMID: 2558763
- DOI: http://doi.org/10.3904/kjim.2023.420
Abstract
- Although percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) has been increasing in recent years, CTO PCI is still one of the most challenging procedures with relatively higher rates of procedural complications and adverse clinical events after PCI. Due to the innate limitations of invasive coronary angiography, intravascular imaging (IVI) has been used as an adjunctive tool to complement PCI, especially in complex coronary artery disease. Considering the complexity of CTO lesions, the role of IVI is particularly important in CTO intervention. IVI has been a useful adjunctive tool in every step of CTO PCI including assisted wire crossing, confirmation of wire location within CTO segment, and stent optimization. The meticulous use of IVI has been one of the greatest contributors to recent progress of CTO PCI. Nevertheless, studies evaluating the role of IVI during CTO PCI are limited. The current review provides a comprehensive overview of the mechanistic advantages of IVI in CTO PCI, summarizes previous studies and trials, and presents future perspective of IVI in CTO PCI.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Thrombotic Occlusion during Intravascular Ultrasonography-Guided Percutaneous Coronary Intervention of Stumpless Chronic Total Occlusion
- PCI Optimization Using Intravascular Imaging: Insights From Recent Trials
- Iteration of Reverse Controlled Antegrade and Retrograde Tracking for Coronary Chronic Total Occlusion Intervention: a Current Appraisal
- Recent Advances in Percutaneous Coronary Intervention in Coronary Artery Disease
- Reverse Controlled Antegrade and Retrograde Subintimal Tracking in Chronic Total Occlusion of Right Coronary Artery
