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Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions

2024; Elsevier BV; Volume: 33; Issue: 7 Linguagem: Inglês

10.1016/j.hlc.2023.11.030

1444-2892

Eugene B. Wu, Arun Kalyanasundaram, Emmanouil S Brilakis, Kambis Mashayekhi, Etsuo Tsuchikane, Nidal Abi Rafeh, Pierfrancesco Agostoni, Khaldoon Alaswad, Mario Araya, Alexandre Avran, Mohamed Ayoub, Lorenzo Azzalini, А. М. Бабунашвили, Baktash Bayani, Michael Behnes, Ravinay Bhindi, Nicolas Boudou, Marouane Boukhris, Nenad Božinović, Leszek Bryniarski, Alexander Bufe, Christopher E. Buller, M. Nicholas Burke, Heinz Joachim Buettner, Pedro Cardoso, Mauro Carlino, Chi Kin Chan, Jiyan Chen, Evald Høj Christiansen, Antonio Colombo, Kevin Croce, Félix Damas de los Santos, Tony De Martini, Joseph Dens, Carlo Di Mario, Darshan Doshi, Kefei Dou, Mohaned Egred, Basem Elbarouni, Ahmed ElGuindy, Javier Escaned, Sergey Furkalo, Andrea Gagnor, Alfredo R. Galassi, Roberto Garbo, Gabriele Gasparini, Junbo Ge, Lei Ge, Pravin K. Goel, Ömer Göktekín, Nieves Gonzalo, Şevket Görgülü, Luca Grancini, Allison B. Hall, Colm G. Hanratty, Stefan Harb, Scott A. Harding, Raja Hatem, Farrel Hellig, José P.S. Henriques, David Hildick‐Smith, Jonathan Hill, Angela Hoye, Wissam Jaber, Farouc A. Jaffer, Yangsoo Jang, Risto Jussila, Artis Kalniņš, Sanjog Kalra, David E. Kandzari, Hsien‐Li Kao, Dimitri Karmpaliotis, Hussien Heshmat Kassem, Kathleen E. Kearney, Jimmy Kerrigan, Jaikirshan Khatri, Dmitri Khelimskii, Ajay J. Kirtane, Paul Knaapen, Ran Kornowski, Oleg Krestyaninov, Vinay Kumar, Prathap Kumar, Pablo Lamelas, Seung‐Whan Lee, Thierry Lefévre, Gregor Leibundgut, Raymond Leung, Sum-Kin Leung, Yu Li, Yue Li, Soo-Teik Lim, S. Lo, William Lombardi, Anbukarasi Maran, Margaret McEntegart, Jeffrey W. Moses, Muhammad Munawar, Wataru Nagamatsu, Andrés Navarro, Hung Manh Ngo, William Nicholson, Anja Øksnes, Göran Olivecrona, Lucio Padilla, Mitul Patel, Ashish Pershad, Marin Postu, Stylianos A. Pyxaras, Jie Qian, Alexandre Schaan de Quadros, Franklin Leonardo Hanna Quesada, Truls Råmunddal, Vithala Suryaprakasa Rao, Sudhir Rathore, Nicolaus Reifart, Robert F. Riley, Stéphane Rinfret, Meruzhan Saghatelyan, Ricardo Santiago, Ashok Seth, Georgios Sianos, Elliot J. Smith, Anthony Spaedy, James C. Spratt, Gregg W. Stone, Julian Strange, Khalid Tammam, Craig A. Thompson, Aurel Toma, Jennifer A. Tremmel, Imre Ungi, G Vadalà, Minh Vo, Vũ Hoàng Vũ, Simon Walsh, Daniel Weilenmann, Gerald S. Werner, Jarosław Wójcik, Jason Wollmuth, Chiung-Jen Wu, Bo Xu, Masahisa Yamane, Luiz F. Ybarra, Robert W. Yeh, Chris Zambakides, Qi Zhang,

Coronary Interventions and Diagnostics

Safety is of critical importance to chronic total occlusion (CTO) percutaneous coronary intervention (PCI).This global consensus statement provides guidance on how to optimise the safety of CTO) PCI, addressing the following 12 areas: 1. Set-up for safe CTO PCI; 2. Guide catheter--associated vessel injuries; 3. Hydraulic dissection, extraplaque haematoma expansion, and aortic dissections; 4. Haemodynamic collapse during CTO PCI; 5. Side branch occlusion; 6. Perforations; 7. Equipment entrapment; 8. Vascular access considerations; 9. Contrast-induced acute kidney injury; 10.Radiation injury; 11 When to stop; and, 12. Proctorship.This statement complements the global CTO crossing algorithm; by advising how to prevent and deal with complications, this statement aims to facilitate clinical practice, research, and education relating to CTO PCI.