scholarly journals Role of CT Coronary Angiography in Recanalization of Chronic Total Occlusion

2015 ◽  
Vol 11 (4) ◽  
pp. 317-322 ◽  
Author(s):  
Sanjeeb Roy ◽  
Jugal Sharma
Author(s):  
C. Raghu ◽  
Rahul K. Ghogre ◽  
Alekhya Mandepudi

AbstractChronic total occlusion (CTO) is a common challenge accounting for 10% of coronary lesions found on coronary angiography. Patients are frequently referred for bypass surgery because percutaneous coronary intervention is challenging in this subset. Recent advances in the hardware as well as the technical expertise and an algorithm approach have improved the success to more than 90%.Antegrade approach is the cornerstone for managing CTO and has two distinct strategies: antegrade wire escalation, and antegrade dissection and reentry strategy. Step-wise approach to perform these procedures and the use of adjunct imaging are discussed.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
S A Elsaed ◽  
K E Allam ◽  
E A S Geneidi ◽  
A S Abdelrahman

Abstract Purpose To highlight the role of multislice CT coronary angiography with its new applications such as reformatted images, and high resolution imaging, regarding coronary plaque composition and prevalence in dyslipidemic and non dyslipidemic patients Methods The study included 30 patients, 15 non dyslipidemic and 15 dyslipidemic patients. Each patient included in the study was subjected to full history taking, reviewing medical sheet. CTCA was performed for all patients followed by analysis of the plaque composition and percent stenosis using the axial images and multiplanar reconstruction. Results It was found that dyslipidemic patients had more plaque burden than non dyslipidemic. The dyslipidemic patients were more liable for multiple and soft plaques, mainly appreciated at the distal segment of the coronary arteries while non dyslipidemic were more liable for single and calcific/mixed plaques. Thus, may encourage the clinician to use lipid lower drugs as primary or secondary intervention for CAD.


2005 ◽  
Vol 6 (1) ◽  
pp. 161-162
Author(s):  
N. Sayar ◽  
S. Terzi ◽  
T. Akbulut ◽  
M. Ergelen ◽  
T. Bilsel ◽  
...  

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