Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions
Collaborators
-
CTO Global Consensus Group:
Nidal Abi Rafeh 6 , Pierfrancesco Agostoni 7 , Khaldoon Alaswad 8 , Mario Araya 9 , Alexandre Avran 10 , Mohamed Ayoub 11 , Lorenzo Azzalini 12 , Avtandil M Babunashvili 13 , Baktash Bayani 14 , Michael Behnes 15 , Ravinay Bhindi 16 , Nicolas Boudou 17 , Marouane Boukhris 18 , Nenad Z Bozinovic 19 , Leszek Bryniarski 20 , Alexander Bufe 21 , Christopher E Buller 22 , M Nicholas Burke 3 , Heinz Joachim Buettner 23 , Pedro Cardoso 24 , Mauro Carlino 25 , Chi-Kin Chan 26 , Jiyan Chen 27 , Evald Hoej Christiansen 28 , Antonio Colombo 29 , Kevin Croce 30 , Felix Damas de Los Santos 31 , Tony de Martini 32 , Joseph Dens 33 , Carlo di Mario 34 , Darshan Doshi 35 , Kefei Dou 36 , Mohaned Egred 37 , Basem Elbarouni 38 , Ahmed M ElGuindy 39 , Javier Escaned 40 , Sergey Furkalo 41 , Andrea Gagnor 42 , Alfredo R Galassi 43 , Roberto Garbo 44 , Gabriele L Gasparini 29 , Junbo Ge 45 , Lei Ge 45 , Pravin Kumar Goel 46 , Omer Goktekin 47 , Nieves Gonzalo 48 , Sevket Gorgulu 49 , Luca Grancini 50 , Allison B Hall 51 , Colm Hanratty 52 , Stefan Harb 53 , Scott A Harding 54 , Raja Hatem 55 , Farrel Hellig 56 , Jose P S Henriques 57 , David Hildick-Smith 58 , Jonathan M Hill 59 , Angela Hoye 60 , Wissam Jaber 61 , Farouc A Jaffer 35 , Yangsoo Jang 62 , Risto Jussila 63 , Artis Kalnins 64 , Sanjog Kalra 65 , David E Kandzari 66 , Hsien-Li Kao 67 , Dimitri Karmpaliotis 68 , Hussien Heshmat Kassem 69 , Kathleen E Kearney 70 , Jimmy Kerrigan 71 , Jaikirshan Khatri 72 , Dmitri Khelimskii 73 , Ajay J Kirtane 74 , Paul Knaapen 75 , Ran Kornowski 76 , Oleg Krestyaninov 77 , V Ganesh Kumar 78 , Prathap Kumar 79 , Pablo Manuel Lamelas 80 , Seung-Whan Lee 81 , Thierry Lefevre 82 , Gregor Leibundgut 83 , Raymond Leung 84 , Sum-Kin Leung 85 , Yu Li 86 , Yue Li 87 , Soo-Teik Lim 88 , Sidney Lo 89 , William Lombardi 90 , Anbukarasi Maran 91 , Margaret McEntegart 74 , Jeffrey Moses 92 , Muhammad Munawar 93 , Wataru Nagamatsu 94 , Andres Navarro 95 , Hung M Ngo 96 , William Nicholson 61 , Anja Oksnes 97 , Goran K Olivecrona 98 , Lucio Padilla 99 , Mitul Patel 100 , Ashish Pershad 101 , Marin Postu 102 , Stylianos Pyxaras 103 , Jie Qian 104 , Alexandre Quadros 105 , Franklin Leonardo Hanna Quesada 106 , Truls Råmunddal 107 , Vithala Suryaprakasa Rao 108 , Sudhir Rathore 109 , Nicolaus Reifart 110 , Robert F Riley 111 , Stephane Rinfret 112 , Meruzhan Saghatelyan 113 , Ricardo Santiago 114 , Ashok Seth 115 , Georgios Sianos 116 , Elliot Smith 117 , Anthony Spaedy 118 , James Spratt 119 , Gregg W Stone 120 , Julian W Strange 121 , Khalid O Tammam 122 , Craig A Thompson 123 , Aurel Toma 124 , Jennifer A Tremmel 125 , Imre Ungi 126 , Giuseppe Vadalà 127 , Minh Vo 128 , Vu Hoang Vu 129 , Simon Walsh 130 , Daniel Weilenmann 131 , Gerald S Werner 132 , Jaroslaw Wojcik 133 , Jason Wollmuth 134 , Chiung-Jen Wu 135 , Bo Xu 136 , Masahisa Yamane 137 , Luiz F Ybarra 138 , Robert W Yeh 139 , Chris Zambakides 140 , Qi Zhang 141
Affiliations
- 1 Prince of Wales Hospital, Chinese University Hong Kong, Hong Kong. Electronic address: cto.demon@gmail.com.
- 2 Promed Hospital, Chennai, India.
- 3 Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
- 4 Department of Cardiology and Angiology, II University Heart Center, Freiburg Bad Krozingen, Germany.
- 5 Toyohashi Heart Center, Aichi, Japan.
- 6 St. George Hospital University Medical Center, Beirut, Lebanon; NorthOaks Health System, Hammond, LA, USA.
- 7 HartCentrum, Ziekenhuis Netwerk Antwerpen (ZNA), Antwerp, Belgium.
- 8 Edith and Benson Ford Heart and Vascular Institute, Henry Ford Hospital, Henry Ford Health System, Wayne State University, MI, USA.
- 9 Clinica Alemana and Hospital Militar de Santiago, Chile.
- 10 Centre Hospitalier de Valenciennes, Valenciennes, France.
- 11 University Heartcenter NRW, Bad Oeynhausen, Germany.
- 12 Division of Cardiology, VCU Health Pauley Heart Center, Virginia Commonwealth University, Richmond, VA, USA.
- 13 Moscow State Medical [Sechenov's] University, Moscow, Russia.
- 14 Cardiology Department, Mehr Hospital, Mashhad, Iran.
- 15 First Department of Medicine, University Medical Centre Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, Germany.
- 16 Royal North Shore Hospital and University of Sydney, Sydney, NSW, Australia.
- 17 Interventional Cardiology Clinique Saint Augustin Bordeaux France.
- 18 Cardiology Department, CHU Dupuytren, Limoges, France.
- 19 University Clinical Center of Nis. Serbia.
- 20 Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College; Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.
- 21 Heart Center Krefeld, University Witten/Herdecke, Witten, Germany.
- 22 Teleflex Inc. and St. Michael's Hospital, Toronto, Canada.
- 23 Department of Cardiology and Angiology, II University Heart Center Freiburg Bad Krozingen, Germany.
- 24 Cardiology and Vascular Department, Santa Maria University Hospital [CHULN], Lisbon Academic Medical Centre [CAML]; Centro Cardiovascular da Universidade de Lisboa [CCUL], Portugal.
- 25 Interventional Cardiology Unit, Cardio-Thoracic-Vascular Department IRCCS San Raffaele Scientific Institute, Milan, Italy.
- 26 Premier Medical Centre, Hong Kong.
- 27 Guangdong Provincial People's Hospital, Guangdong, China.
- 28 Department of Cardiology, Aarhus University Hospital, Denmark.
- 29 Department of Biomedical Sciences, Humanitas University, Pieve Emauele-Milan, Italy; Humanitas Clinical and Research Center, IRCCS, Rozzano-Milan, Italy.
- 30 Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
- 31 Instituto Nacional de Cardiologia; Ignacio Chávez and Centro Medico ABC, Mexico City, Mexico.
- 32 Springfield Memorial Hospital, Springfield, IL; Midwest Cardiovascular Institute, Naperville, IL, USA.
- 33 Hospital Oost-Limburg, Genk, Belgium.
- 34 Department of Clinical & Experimental Medicine, University Hospital Careggi, Florence, Italy.
- 35 Massachusetts General Hospital, Boston, MA, USA.
- 36 Research Center for Coronary Heart Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical, China.
- 37 Freeman Hospital & Newcastle University, Newcastle upon Tyne, UK.
- 38 St. Boniface Hospital & University of Manitoba, Winnipeg, MB, Canada.
- 39 Department of Cardiology, Aswan Heart Centre - Magdi Yacoub Foundation, Egypt.
- 40 Hospital Clinico San Carlos IDISSC, Complutense University of Madrid, Madrid, Spain.
- 41 National Institute of Surgery and Transplantology NAMS, Kiev, Ukraine.
- 42 Department of Invasive Cardiology, Maria Vittoria Hospital, Turin, Italy.
- 43 Department of PROMISE University of Palermo, Italy.
- 44 Maria Pia Hospital, GVM Care & Research Turin, Italy.
- 45 Zhongshan Hospital, Fudan University, Shanghai, China.
- 46 Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
- 47 Memorial Hospital, Istanbul, Turkey.
- 48 Interventional Cardiology, Hospital Clinico San Carlos, IdISSC, Universidad Complutense, Madrid, Spain.
- 49 Acibadem University Cardiology Department, Istanbul/Turkey.
- 50 Centro Cardiologico Monzino, IRCCS, Milan, Italy.
- 51 Eastern Health/Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
- 52 Mater Private Hospital, Dublin, Ireland.
- 53 Medical University of Graz, Department of Cardiology, University Heart Center, Graz, Austria.
- 54 Wellington Hospital, Capital and Coast District Health Board, New Zealand.
- 55 Hôpital du Sacré-Coeur de Montréal Université de Montréal, Canada.
- 56 Sunninghill Hospital, Johannesburg; Division of Cardiology, University of Cape Town, Cape Town, South Africa.
- 57 Amsterdam UMC location, University of Amsterdam, Department, Amsterdam, The Netherlands.
- 58 Sussex Cardiac Centre, Brighton, UK.
- 59 Royal Brompton Hospital, London, UK.
- 60 Centre for Atherothrombosis and Metabolic Disease, Hull York Medical School, University of Hull, UK.
- 61 Emory University, Atlanta, GA, USA.
- 62 CHA Bundang Medical Center, CHA University College of Medicine, South Korea.
- 63 Interventional Cardiology, Helsinki Heart Hospital, Finland.
- 64 Clinic of Cardiovascular Diseases Riga EAST Clinical University Hospital, Riga, Latvia.
- 65 Peter Munk Cardiac Centre, Toronto General Hospital, Toronto, Canada.
- 66 Piedmont Heart Institute and Cardiovascular Services, Atlanta, GA, USA.
- 67 Department of Internal Medicine, Cardiology Division, Cardiovascular Center, National Taiwan University Hospital, Taipei, Taiwan.
- 68 Gagnon Cardiovascular Institute, Morristown Medical Center, Morristown, NJ, USA.
- 69 Kasr Alainy Medical School, Cairo University, Egypt; Fujairah Hospital, Ministry of Health, UAE.
- 70 University of Washington Medical Centre, Seattle, WA, USA.
- 71 Ascension Saint Thomas Heart, Nashville, TN, USA.
- 72 Cleveland Clinic, Cleveland, OH, USA.
- 73 Natsional'nyy Meditsinskiy Issledovatel'skiy Tsentr Imeni Akademika Ye.n. Meshalkina - Novosibirsk, Russian Federation.
- 74 Columbia University Irving Medical Center, New York, NY, USA.
- 75 Heart Center of the Amsterdam University Medical Centers, Amsterdam, Netherlands.
- 76 Department of Cardiology, Rabin Medical Center, Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
- 77 E.Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation.
- 78 Department of Cardiology, Dr LH Hiranandani Hospital, Mumbai, India.
- 79 Meditrina Hospitals Kerala, India.
- 80 Cardiovascular de Buenos Aires, Argentina; Health Research Methods, Evidence, and Impact, McMaster University, Canada.
- 81 Department of Cardiology Asan Medical Center, University of Ulsan College of Medicine Seoul, Republic of Korea.
- 82 Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Ramsay Santé, Massy, France.
- 83 Department of Cardiology Medizinische Universitätsklinik Kantonsspital Baselland, Liestal, Switzerland.
- 84 CK Hui Heart Centre, Royal Alexandra Hospital, Edmonton, Alberta, Canada.
- 85 Keen Heart, Hong Kong.
- 86 Beijing Anzhen Hospital, Capital Medical University, China.
- 87 Department of Cardiology, The First Affiliated Hospital of Harbin Medical University, China.
- 88 National Heart Centre of Singapore, Singapore.
- 89 Department of Cardiology, Liverpool Hospital; The University of New South Wales, Sydney, Australia.
- 90 University of Washington, Seattle, WA, USA.
- 91 Medical University of South Carolina Ralph H Johnson VA Medical Center, Charleston, SC, USA.
- 92 Columbia University Irving Medical Center, New York; St Francis Heart Center, Roslyn, New York, NY, USA.
- 93 Binawaluya Cardiac Center and Department of Cardiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Cardiology, Faculty of Medicine, Universitas Gadjahmada, Yogyakarta, Indonesia.
- 94 Hokusetsu General Hospital, Osaka, Japan.
- 95 QRA Medicina Especilizada, Hospital de los Valles, Universidad San Francisco de Quito, Ecuador.
- 96 Choray University Hospital, Ho Chi Minh City, Vietnam.
- 97 Heart Department, Haukeland University Hospital, Norway.
- 98 Department of Cardiology SUS-Lund, Lund University, Lund, Sweden.
- 99 Department of Interventional Cardiology and Endovascular Therapeutics, ICBA, Instituto Cardiovascular, Buenos Aires, Argentina.
- 100 Division of Cardiovascular Medicine UC San Diego School of Medicine, San Diego, CA, USA.
- 101 Chandler Regional Medical Center, Chandler, AZ, USA.
- 102 Cardiology Department, University of Medicine and Pharmacy "Carol Davila," Institute of Cardiovascular Diseases "Prof. Dr. C.C. Iliescu," Bucharest, Romania.
- 103 Medizinische Klinik I, Klinikum Fürth, Fürth, Germany.
- 104 Beijing Fuwai Hospital, Beijing, China.
- 105 Interventional Cardiology Division and Post Graduate Course of Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil.
- 106 The "Clinica Comfamiliar" Pereira, Colombia.
- 107 Dept of Cardiology Sahlgrenska University Hospital, Gothenburg, Sweden.
- 108 Hod Cardiology, Care Hospitals Banjara, Hyderabad, Telangana, India.
- 109 Frimley Health NHS Foundation Trust, Frimley, UK.
- 110 Department of Cardiology, Main Taunus Heart Institute, Bad Soden, Germany.
- 111 Overlake Medical Center & Clinics, Bellevue, WA, USA.
- 112 McGill University Health Centre, Montreal, Quebec, Canada.
- 113 Nork Marash MC; Erebouni MC, Yerevan, Armenia.
- 114 PCI Cardiology Group, Bayamon Heart and Lung Institute, Puerto Rico.
- 115 Fortis Escorts Heart Institute, New Delhi, India.
- 116 HEPA University Hospital, Thessaloniki, Greece.
- 117 Department of Cardiology, Barts Heart Centre, St Bartholomew's Hospital, London, UK.
- 118 Boone Hospital Center, Columbia, MO, USA.
- 119 St George's University Hospital NHS Foundation Trust, London, UK.
- 120 The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
- 121 Bristol Royal Infirmary, University Hospital Bristol NHS Trust, Bristol, UK.
- 122 Department at the International Medical Center, Jeddah, Kingdom of Saudi Arabia.
- 123 Hartford Healthcare Hartford, CT, USA.
- 124 Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
- 125 Stanford University Medical Centre, Stanford, CA, USA.
- 126 University of Szeged, Department of Invasive Cardiology, Hungary.
- 127 Division of Cardiology, University Hospital, Paolo Giaccone, Palermo, Italy.
- 128 Royal Columbian Hospital, Vancouver, BC, Canada.
- 129 University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.
- 130 Belfast Health and Social Care Trust, Belfast, UK; Boston Scientific, UK.
- 131 Department of Cardiology, Kantonsspital St. Gallen, Sankt Gallen, Switzerland.
- 132 Medizinische Klinik I Klinikum, Darmstadt GmbH, Germany.
- 133 Hospital of Invasive Cardiology IKARDIA, Nałęczów/Lublin, Poland.
- 134 Providence Heart and Vascular Institute, Portland, OR, USA.
- 135 Chang Chung Memorial Hospital, Taiwan.
- 136 Massachusetts General Hospital Boston, MA, USA.
- 137 Saitama-Sekishinkai Hospital, Saitama, Japan.
- 138 London Health Sciences Centre, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
- 139 Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston MA, USA.
- 140 Department of Cardiology, Chris-Hani Baragwanath Hospital, Johannesburg, South Africa.
- 141 Shanghai East Hospital, Tongji University, Shanghai, China.
- PMID: 38839467
- DOI: 10.1016/j.hlc.2023.11.030
Global Consensus Recommendations on Improving the Safety of Chronic Total Occlusion Interventions
Authors
Collaborators
-
CTO Global Consensus Group:
Nidal Abi Rafeh 6 , Pierfrancesco Agostoni 7 , Khaldoon Alaswad 8 , Mario Araya 9 , Alexandre Avran 10 , Mohamed Ayoub 11 , Lorenzo Azzalini 12 , Avtandil M Babunashvili 13 , Baktash Bayani 14 , Michael Behnes 15 , Ravinay Bhindi 16 , Nicolas Boudou 17 , Marouane Boukhris 18 , Nenad Z Bozinovic 19 , Leszek Bryniarski 20 , Alexander Bufe 21 , Christopher E Buller 22 , M Nicholas Burke 3 , Heinz Joachim Buettner 23 , Pedro Cardoso 24 , Mauro Carlino 25 , Chi-Kin Chan 26 , Jiyan Chen 27 , Evald Hoej Christiansen 28 , Antonio Colombo 29 , Kevin Croce 30 , Felix Damas de Los Santos 31 , Tony de Martini 32 , Joseph Dens 33 , Carlo di Mario 34 , Darshan Doshi 35 , Kefei Dou 36 , Mohaned Egred 37 , Basem Elbarouni 38 , Ahmed M ElGuindy 39 , Javier Escaned 40 , Sergey Furkalo 41 , Andrea Gagnor 42 , Alfredo R Galassi 43 , Roberto Garbo 44 , Gabriele L Gasparini 29 , Junbo Ge 45 , Lei Ge 45 , Pravin Kumar Goel 46 , Omer Goktekin 47 , Nieves Gonzalo 48 , Sevket Gorgulu 49 , Luca Grancini 50 , Allison B Hall 51 , Colm Hanratty 52 , Stefan Harb 53 , Scott A Harding 54 , Raja Hatem 55 , Farrel Hellig 56 , Jose P S Henriques 57 , David Hildick-Smith 58 , Jonathan M Hill 59 , Angela Hoye 60 , Wissam Jaber 61 , Farouc A Jaffer 35 , Yangsoo Jang 62 , Risto Jussila 63 , Artis Kalnins 64 , Sanjog Kalra 65 , David E Kandzari 66 , Hsien-Li Kao 67 , Dimitri Karmpaliotis 68 , Hussien Heshmat Kassem 69 , Kathleen E Kearney 70 , Jimmy Kerrigan 71 , Jaikirshan Khatri 72 , Dmitri Khelimskii 73 , Ajay J Kirtane 74 , Paul Knaapen 75 , Ran Kornowski 76 , Oleg Krestyaninov 77 , V Ganesh Kumar 78 , Prathap Kumar 79 , Pablo Manuel Lamelas 80 , Seung-Whan Lee 81 , Thierry Lefevre 82 , Gregor Leibundgut 83 , Raymond Leung 84 , Sum-Kin Leung 85 , Yu Li 86 , Yue Li 87 , Soo-Teik Lim 88 , Sidney Lo 89 , William Lombardi 90 , Anbukarasi Maran 91 , Margaret McEntegart 74 , Jeffrey Moses 92 , Muhammad Munawar 93 , Wataru Nagamatsu 94 , Andres Navarro 95 , Hung M Ngo 96 , William Nicholson 61 , Anja Oksnes 97 , Goran K Olivecrona 98 , Lucio Padilla 99 , Mitul Patel 100 , Ashish Pershad 101 , Marin Postu 102 , Stylianos Pyxaras 103 , Jie Qian 104 , Alexandre Quadros 105 , Franklin Leonardo Hanna Quesada 106 , Truls Råmunddal 107 , Vithala Suryaprakasa Rao 108 , Sudhir Rathore 109 , Nicolaus Reifart 110 , Robert F Riley 111 , Stephane Rinfret 112 , Meruzhan Saghatelyan 113 , Ricardo Santiago 114 , Ashok Seth 115 , Georgios Sianos 116 , Elliot Smith 117 , Anthony Spaedy 118 , James Spratt 119 , Gregg W Stone 120 , Julian W Strange 121 , Khalid O Tammam 122 , Craig A Thompson 123 , Aurel Toma 124 , Jennifer A Tremmel 125 , Imre Ungi 126 , Giuseppe Vadalà 127 , Minh Vo 128 , Vu Hoang Vu 129 , Simon Walsh 130 , Daniel Weilenmann 131 , Gerald S Werner 132 , Jaroslaw Wojcik 133 , Jason Wollmuth 134 , Chiung-Jen Wu 135 , Bo Xu 136 , Masahisa Yamane 137 , Luiz F Ybarra 138 , Robert W Yeh 139 , Chris Zambakides 140 , Qi Zhang 141
Affiliations
- 1 Prince of Wales Hospital, Chinese University Hong Kong, Hong Kong. Electronic address: cto.demon@gmail.com.
- 2 Promed Hospital, Chennai, India.
- 3 Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
- 4 Department of Cardiology and Angiology, II University Heart Center, Freiburg Bad Krozingen, Germany.
- 5 Toyohashi Heart Center, Aichi, Japan.
- 6 St. George Hospital University Medical Center, Beirut, Lebanon; NorthOaks Health System, Hammond, LA, USA.
- 7 HartCentrum, Ziekenhuis Netwerk Antwerpen (ZNA), Antwerp, Belgium.
- 8 Edith and Benson Ford Heart and Vascular Institute, Henry Ford Hospital, Henry Ford Health System, Wayne State University, MI, USA.
- 9 Clinica Alemana and Hospital Militar de Santiago, Chile.
- 10 Centre Hospitalier de Valenciennes, Valenciennes, France.
- 11 University Heartcenter NRW, Bad Oeynhausen, Germany.
- 12 Division of Cardiology, VCU Health Pauley Heart Center, Virginia Commonwealth University, Richmond, VA, USA.
- 13 Moscow State Medical [Sechenov's] University, Moscow, Russia.
- 14 Cardiology Department, Mehr Hospital, Mashhad, Iran.
- 15 First Department of Medicine, University Medical Centre Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, Germany.
- 16 Royal North Shore Hospital and University of Sydney, Sydney, NSW, Australia.
- 17 Interventional Cardiology Clinique Saint Augustin Bordeaux France.
- 18 Cardiology Department, CHU Dupuytren, Limoges, France.
- 19 University Clinical Center of Nis. Serbia.
- 20 Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College; Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.
- 21 Heart Center Krefeld, University Witten/Herdecke, Witten, Germany.
- 22 Teleflex Inc. and St. Michael's Hospital, Toronto, Canada.
- 23 Department of Cardiology and Angiology, II University Heart Center Freiburg Bad Krozingen, Germany.
- 24 Cardiology and Vascular Department, Santa Maria University Hospital [CHULN], Lisbon Academic Medical Centre [CAML]; Centro Cardiovascular da Universidade de Lisboa [CCUL], Portugal.
- 25 Interventional Cardiology Unit, Cardio-Thoracic-Vascular Department IRCCS San Raffaele Scientific Institute, Milan, Italy.
- 26 Premier Medical Centre, Hong Kong.
- 27 Guangdong Provincial People's Hospital, Guangdong, China.
- 28 Department of Cardiology, Aarhus University Hospital, Denmark.
- 29 Department of Biomedical Sciences, Humanitas University, Pieve Emauele-Milan, Italy; Humanitas Clinical and Research Center, IRCCS, Rozzano-Milan, Italy.
- 30 Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
- 31 Instituto Nacional de Cardiologia; Ignacio Chávez and Centro Medico ABC, Mexico City, Mexico.
- 32 Springfield Memorial Hospital, Springfield, IL; Midwest Cardiovascular Institute, Naperville, IL, USA.
- 33 Hospital Oost-Limburg, Genk, Belgium.
- 34 Department of Clinical & Experimental Medicine, University Hospital Careggi, Florence, Italy.
- 35 Massachusetts General Hospital, Boston, MA, USA.
- 36 Research Center for Coronary Heart Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical, China.
- 37 Freeman Hospital & Newcastle University, Newcastle upon Tyne, UK.
- 38 St. Boniface Hospital & University of Manitoba, Winnipeg, MB, Canada.
- 39 Department of Cardiology, Aswan Heart Centre - Magdi Yacoub Foundation, Egypt.
- 40 Hospital Clinico San Carlos IDISSC, Complutense University of Madrid, Madrid, Spain.
- 41 National Institute of Surgery and Transplantology NAMS, Kiev, Ukraine.
- 42 Department of Invasive Cardiology, Maria Vittoria Hospital, Turin, Italy.
- 43 Department of PROMISE University of Palermo, Italy.
- 44 Maria Pia Hospital, GVM Care & Research Turin, Italy.
- 45 Zhongshan Hospital, Fudan University, Shanghai, China.
- 46 Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
- 47 Memorial Hospital, Istanbul, Turkey.
- 48 Interventional Cardiology, Hospital Clinico San Carlos, IdISSC, Universidad Complutense, Madrid, Spain.
- 49 Acibadem University Cardiology Department, Istanbul/Turkey.
- 50 Centro Cardiologico Monzino, IRCCS, Milan, Italy.
- 51 Eastern Health/Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
- 52 Mater Private Hospital, Dublin, Ireland.
- 53 Medical University of Graz, Department of Cardiology, University Heart Center, Graz, Austria.
- 54 Wellington Hospital, Capital and Coast District Health Board, New Zealand.
- 55 Hôpital du Sacré-Coeur de Montréal Université de Montréal, Canada.
- 56 Sunninghill Hospital, Johannesburg; Division of Cardiology, University of Cape Town, Cape Town, South Africa.
- 57 Amsterdam UMC location, University of Amsterdam, Department, Amsterdam, The Netherlands.
- 58 Sussex Cardiac Centre, Brighton, UK.
- 59 Royal Brompton Hospital, London, UK.
- 60 Centre for Atherothrombosis and Metabolic Disease, Hull York Medical School, University of Hull, UK.
- 61 Emory University, Atlanta, GA, USA.
- 62 CHA Bundang Medical Center, CHA University College of Medicine, South Korea.
- 63 Interventional Cardiology, Helsinki Heart Hospital, Finland.
- 64 Clinic of Cardiovascular Diseases Riga EAST Clinical University Hospital, Riga, Latvia.
- 65 Peter Munk Cardiac Centre, Toronto General Hospital, Toronto, Canada.
- 66 Piedmont Heart Institute and Cardiovascular Services, Atlanta, GA, USA.
- 67 Department of Internal Medicine, Cardiology Division, Cardiovascular Center, National Taiwan University Hospital, Taipei, Taiwan.
- 68 Gagnon Cardiovascular Institute, Morristown Medical Center, Morristown, NJ, USA.
- 69 Kasr Alainy Medical School, Cairo University, Egypt; Fujairah Hospital, Ministry of Health, UAE.
- 70 University of Washington Medical Centre, Seattle, WA, USA.
- 71 Ascension Saint Thomas Heart, Nashville, TN, USA.
- 72 Cleveland Clinic, Cleveland, OH, USA.
- 73 Natsional'nyy Meditsinskiy Issledovatel'skiy Tsentr Imeni Akademika Ye.n. Meshalkina - Novosibirsk, Russian Federation.
- 74 Columbia University Irving Medical Center, New York, NY, USA.
- 75 Heart Center of the Amsterdam University Medical Centers, Amsterdam, Netherlands.
- 76 Department of Cardiology, Rabin Medical Center, Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
- 77 E.Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation.
- 78 Department of Cardiology, Dr LH Hiranandani Hospital, Mumbai, India.
- 79 Meditrina Hospitals Kerala, India.
- 80 Cardiovascular de Buenos Aires, Argentina; Health Research Methods, Evidence, and Impact, McMaster University, Canada.
- 81 Department of Cardiology Asan Medical Center, University of Ulsan College of Medicine Seoul, Republic of Korea.
- 82 Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Ramsay Santé, Massy, France.
- 83 Department of Cardiology Medizinische Universitätsklinik Kantonsspital Baselland, Liestal, Switzerland.
- 84 CK Hui Heart Centre, Royal Alexandra Hospital, Edmonton, Alberta, Canada.
- 85 Keen Heart, Hong Kong.
- 86 Beijing Anzhen Hospital, Capital Medical University, China.
- 87 Department of Cardiology, The First Affiliated Hospital of Harbin Medical University, China.
- 88 National Heart Centre of Singapore, Singapore.
- 89 Department of Cardiology, Liverpool Hospital; The University of New South Wales, Sydney, Australia.
- 90 University of Washington, Seattle, WA, USA.
- 91 Medical University of South Carolina Ralph H Johnson VA Medical Center, Charleston, SC, USA.
- 92 Columbia University Irving Medical Center, New York; St Francis Heart Center, Roslyn, New York, NY, USA.
- 93 Binawaluya Cardiac Center and Department of Cardiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Cardiology, Faculty of Medicine, Universitas Gadjahmada, Yogyakarta, Indonesia.
- 94 Hokusetsu General Hospital, Osaka, Japan.
- 95 QRA Medicina Especilizada, Hospital de los Valles, Universidad San Francisco de Quito, Ecuador.
- 96 Choray University Hospital, Ho Chi Minh City, Vietnam.
- 97 Heart Department, Haukeland University Hospital, Norway.
- 98 Department of Cardiology SUS-Lund, Lund University, Lund, Sweden.
- 99 Department of Interventional Cardiology and Endovascular Therapeutics, ICBA, Instituto Cardiovascular, Buenos Aires, Argentina.
- 100 Division of Cardiovascular Medicine UC San Diego School of Medicine, San Diego, CA, USA.
- 101 Chandler Regional Medical Center, Chandler, AZ, USA.
- 102 Cardiology Department, University of Medicine and Pharmacy "Carol Davila," Institute of Cardiovascular Diseases "Prof. Dr. C.C. Iliescu," Bucharest, Romania.
- 103 Medizinische Klinik I, Klinikum Fürth, Fürth, Germany.
- 104 Beijing Fuwai Hospital, Beijing, China.
- 105 Interventional Cardiology Division and Post Graduate Course of Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil.
- 106 The "Clinica Comfamiliar" Pereira, Colombia.
- 107 Dept of Cardiology Sahlgrenska University Hospital, Gothenburg, Sweden.
- 108 Hod Cardiology, Care Hospitals Banjara, Hyderabad, Telangana, India.
- 109 Frimley Health NHS Foundation Trust, Frimley, UK.
- 110 Department of Cardiology, Main Taunus Heart Institute, Bad Soden, Germany.
- 111 Overlake Medical Center & Clinics, Bellevue, WA, USA.
- 112 McGill University Health Centre, Montreal, Quebec, Canada.
- 113 Nork Marash MC; Erebouni MC, Yerevan, Armenia.
- 114 PCI Cardiology Group, Bayamon Heart and Lung Institute, Puerto Rico.
- 115 Fortis Escorts Heart Institute, New Delhi, India.
- 116 HEPA University Hospital, Thessaloniki, Greece.
- 117 Department of Cardiology, Barts Heart Centre, St Bartholomew's Hospital, London, UK.
- 118 Boone Hospital Center, Columbia, MO, USA.
- 119 St George's University Hospital NHS Foundation Trust, London, UK.
- 120 The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
- 121 Bristol Royal Infirmary, University Hospital Bristol NHS Trust, Bristol, UK.
- 122 Department at the International Medical Center, Jeddah, Kingdom of Saudi Arabia.
- 123 Hartford Healthcare Hartford, CT, USA.
- 124 Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
- 125 Stanford University Medical Centre, Stanford, CA, USA.
- 126 University of Szeged, Department of Invasive Cardiology, Hungary.
- 127 Division of Cardiology, University Hospital, Paolo Giaccone, Palermo, Italy.
- 128 Royal Columbian Hospital, Vancouver, BC, Canada.
- 129 University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.
- 130 Belfast Health and Social Care Trust, Belfast, UK; Boston Scientific, UK.
- 131 Department of Cardiology, Kantonsspital St. Gallen, Sankt Gallen, Switzerland.
- 132 Medizinische Klinik I Klinikum, Darmstadt GmbH, Germany.
- 133 Hospital of Invasive Cardiology IKARDIA, Nałęczów/Lublin, Poland.
- 134 Providence Heart and Vascular Institute, Portland, OR, USA.
- 135 Chang Chung Memorial Hospital, Taiwan.
- 136 Massachusetts General Hospital Boston, MA, USA.
- 137 Saitama-Sekishinkai Hospital, Saitama, Japan.
- 138 London Health Sciences Centre, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
- 139 Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston MA, USA.
- 140 Department of Cardiology, Chris-Hani Baragwanath Hospital, Johannesburg, South Africa.
- 141 Shanghai East Hospital, Tongji University, Shanghai, China.
- PMID: 38839467
- DOI: 10.1016/j.hlc.2023.11.030
Abstract
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.
Keywords: Chronic total occlusion; Consensus document; Global; Percutaneous coronary intervention; Safety.
Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.
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