Percutaneous revascularization of chronic total occlusions: review of the role of invasive and non-invasive imaging modalities

Int J Cardiol. 2007 Mar 2;116(1):1-6. doi: 10.1016/j.ijcard.2006.03.023. Epub 2006 Jun 30.

Abstract

Percutaneous coronary intervention (PCI) of chronic total occlusions (CTO) has a lower success rate than PCI of non-occluded coronary stenosis. Failure to cross the occlusive lesion with a guide wire is the main cause of unsuccessful PCI of a CTO. Multi-imaging modalities may provide valuable information for PCI of CTO. This paper reviews the role of invasive and non-invasive imaging modalities such as intravascular ultrasound, optical coherent reflectometry, CT coronary angiography and cardiac magnetic resonance imaging in facilitating percutaneous coronary intervention of CTO.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary / instrumentation*
  • Angioplasty, Balloon, Coronary / methods*
  • Animals
  • Catheter Ablation / instrumentation
  • Coronary Angiography / instrumentation
  • Coronary Angiography / methods
  • Coronary Stenosis / diagnosis*
  • Equipment Design
  • Humans
  • Magnetic Resonance Imaging / instrumentation
  • Magnetic Resonance Imaging / methods
  • Predictive Value of Tests
  • Tomography, Optical Coherence / instrumentation
  • Tomography, Optical Coherence / methods
  • Ultrasonography, Interventional / instrumentation
  • Ultrasonography, Interventional / methods