Kazakhstan CTO Club's recommended guidelines for interventional therapy for coronary chronic total occlusion

Begylan Stambol 1 * , Aleksey Kolesnikov 2, Marat Aripov 3, Bekzat Usmanov 4
More Detail
1 Department of Interventional Cardiology №1, National Scientific Medical Center, Nur-Sultan, Kazakhstan
2 X-ray Endovascular Operating Unit, Scientific Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
3 Department of Interventional Cardiology, National Scientific Cardiac Surgery Center, Nur-Sultan, Kazakhstan
4 Department of Catheterization Laboratory, National Scientific Medical Center, Nur-Sultan, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 19, Issue 3, pp. 4-10. https://doi.org/10.23950/jcmk/12134
OPEN ACCESS 636 Views 646 Downloads
Download Full Text (PDF)

ABSTRACT

Chronic total occlusion (CTO) disease refers to obstructive coronary artery disease, which is the degree of direct blood flow of the blood flow TIMI 0 degree of occlusion time 3 months, if there are already well-developed collaterals or bridge collaterals, the distance from the occlusion of the blood vessel TIMI blood flow > 0 degree is still considered a total occlusion disease. Previous studies have shown that 20% of patients with coronary heart disease have experienced CTO lesion from at least one vessel,  Percutaneous Coronary Intervention (PCI) surgery is called the "last fortress" in the field of coronary intervention because of the low success rate and high complications. Therefore, based on the integration of the clinical experience of our country and the analysis of relevant information and progress in research in this area, Chronic Total Occlusion Club Qazaq (Chronic Total Occlusion Club Qazaq, CTOCQ) developed a proposed method of interventional treatment of Coronary chronic total occlusion in Kazakhstan for reference to interventional doctors.

CITATION

Stambol B, Kolesnikov A, Aripov M, Usmanov B. Kazakhstan CTO Club's recommended guidelines for interventional therapy for coronary chronic total occlusion. J CLIN MED KAZ. 2022;19(3):4-10. https://doi.org/10.23950/jcmk/12134

REFERENCES

  • Sianos G, Werner GS, Galassi AR, et al. Recanalisation of chronic total coronary occlusions: 2012 consensus document from the EuroCTO club. Eurolntervention. 2012; 8(1):139-145. https://doi.org/10.4244/EIJV8I1A21
  • Stone GW, Kandzari DE, Mehran R. et al. Percutaneous recanalization of chronically occluded coronary arteries: a consensus document: part I. Circulation. 2005; 112(15):2364-2372. https://doi.org/10.1161/CIRCULATIONAHA.104.481283
  • Azzalini L. Jolicoeur EM, Pighi M. et al. Epidemiology, Management Strategies. and Outcomes of Patients With Chronic Total Coronary Occlusion. Am J Cardiol. 2016; 118(8):1128-1135. https://doi.org/10.1016/j.amjcard.2016.07.023
  • Grantham JA, Jones PG. Cannon L. et al. Quantifying the carly health status benefits of successful chronic total occlusion recanalization: Results from the FlowCardia's Approach to Chronic Total Occlusion Recanalization(FACTOR) Trial. Circ Cardiovasc Qual Outcomes. 2010; 3(3):284-290. https://doi.org/10.1161/CIRCOUTCOMES.108.825760
  • Rossello X, Pujadas S. Serra A, et al. Assessment of Inducible Myocardial Ischemia, Quality of Life. and Functional Status After Successful Percutaneous Revascularization in Patients With Chronic Total Coronary Occlusion. Am J Cardiol. 2016; 117(5):720-726. https://doi.org/10.1016/j.amjcard.2015.12.001
  • Ybarra LF, Dautov R. Gibrat C. et al. Midterm oangina-related quality of life benefits after percutaneous coronary intervention of chronic total occlusions. Can J Cardiol. 2017; 33(12):1668-1674. https://doi.org/10.1016/j.cjca.2017.08.008
  • Baks T. van Geuns RJ. Duncker DJ, et al Prediction of left ventricular function after drug-eluting stent implantation_ for chronic total coronary occlusions. J Am Coll Cardiol. 2006; 47(4):721-725. https://doi.org/10.1016/j.jacc.2005.10.042
  • Hoebers LP. Claessen BE. Elias J. et al Meta-analysis on the impact of percutaneous coronary intervention of chronic total occlusions on left ventricular function and clinical outcome. Int J Cardiol. 2015; 187:90-96. https://doi.org/10.1016/j.ijcard.2015.03.164
  • Mchran R. Claessen BE. Godino C. et al Long-term outoome of percutancous coronary intervention for chronic total occlusions JACC Cardiovase Interv. 2011; 4(9):952-961. https://doi.org/10.1016/j.jcin.2011.03.021
  • Joyal D, Afilalo J, Rinfret S. Effectiveness of recanalization of chronic total occlusions: a systematic review and meta- analysis. Am Heart J. 2010; 160 (1):179-187. https://doi.org/10.1016/j.ahj.2010.04.015
  • Jang WJ, Yang JH1, Choi SH. et al. Long-term survival benefit of revascularization compared with medical therapy in patients with coronary chronic total occlusion and wvell- developed collateral circulation. JACC Cardiovasc Interv. 2015; 8(2):271-279. https://doi.org/10.1016/j.jcin.2014.10.010
  • George S. Cockburn J. Clayton TC. et al. Long-term follow- up of elective chronic total coronary occlusion angioplasty: analysis from the U.K. Central Cardiac Audit Database. J Am Coll Cardiol. 2014; 64(3):235-243. https://doi.org/10.1016/j.jacc.2014.04.040
  • Toma A. Gick M. Minners J. et al. Survival after percutancous coronary intervention for chronic total occlusion. Clin Res Cardiol. 2016; 105(11):921-929. https://doi.org/10.1007/s00392-016-1000-2
  • Christakopoulos GE. Christopoulos G, Carlino M. et al. Meta-analysis of clinical outcomes of patients who underwent percutaneous coronary interventions for chronic total occlusions. Am J Cardiol. 2015; 115 10):1367-1375. https://doi.org/10.1016/j.amjcard.2015.02.038
  • Tomasello SD. Boukhris M. Giubilato S, et al. Management strategies in patients affected by chronic total occlusions: results from the Italian Registry of Chronic Total Occlusions. Eur Heart J. 2015; 36(45):3189-3198. https://doi.org/10.1093/eurheartj/ehv450
  • Azzalini L. Torregrossa G. Puskas JD, et al. Percutaneous revascularization of chronic total occlusions: Rationale. indications. techniques. and the cardiac surgeon's point of view. Int J Cardiol. 2017; 231:90-96.https://doi.org/10.1016/j.ijcard.2017.01.026
  • Galassi AR, Brilakis ES, Boukhris M. et al. Appropriateness of percutaneous revascularization of coronary chronic total occlusions: an overview. Eur Heart J. 2016; 37(35):2692-2700. https://doi.org/10.1093/eurheartj/ehv391
  • Grantham JA. Marso SP, Spertus J, et al. Chronic total occlusion angioplasty in the United States. JACC Cardiovasc Interv. 2009; 2(6):479-486. https://doi.org/10.1016/j.jcin.2009.02.008
  • Prasad A. Rihal CS, Lennon RJ. et al. Trends in outcomes after percutaneous coronary intervention for chronic total occlusions: a 25-year experience from the Mayo Clinic. J Am Coll Cardiol. 2007; 49 (15):1611-1618. https://doi.org/10.1016/j.jacc.2006.12.040
  • Ge Junbo, Ge Lei, Qian Juying, et al. Treatment of a case of chronic complete occlusive disease with reverse guide wire technique. Chinese Journal of Interventional Cardiology. 2006; 14(6):343-345.
  • Ge J, Zhang F. Retrograde recanalization of chronic total coronary artery occlusion using a novel "reverse wire trapping" technique. Catheter Cardiovasc Interv. 2009; 74(6):855-860. https://doi.org/10.1002/ccd.22122
  • Ma JY, Qian JY, Ge L, et al. Retrograde approach for the recanalization of coronary chronic total occlusion: collateral selection and collateral related complication. Chin Med J (Engl). 2013;126(6):1086-91.
  • Galassi AR, Tomasello SD, Reifart N. et al. In-hospital outcomes of percutaneous coronary intervention in patients with chronic total occlusion: insights from the ERCTO (European Registry of Chronic Total Occlusion) registry. EuroIntervention. 2011; 7(4):472-479. https://doi.org/10.4244/EIJV7I4A77
  • Morino Y, Kimura T, Hayashi Y. et al. In-hospital outcomes of contemporary percutaneous coronary intervention in patients with chronic total occlusion insights from the J-CTO Registry (Multicenter CTO Registry in Japan). JACC Cardiovasc Interv. 2010; 3(2):143-151. https://doi.org/10.1016/j.jcin.2009.10.029
  • Christopoulos G, Menon RV, Karmpaliotis D. et al. Application of the "hybrid approach" to chronic total occlusions in patients with previous coronary artery bypass graft surgery (from a Contemporary Multicenter US registry). Am J Cardiol. 2014; 113(12):1990-1994. https://doi.org/10.1016/j.amjcard.2014.03.039
  • Morino Y, Abe M, Morimoto T, Kimura T, et al. Predicting successful guidewire crossing through chronic total occlusion of native coronary lesions within 30 minutes: the J-CTO (Multicenter CTO Registry in Japan) score as a difficulty grading and time assessment tool. JACC Cardiovasc Interv. 2011; 4(2):213-221. https://doi.org/10.1016/j.jcin.2010.09.024
  • Werner GS, Ferrari M, Heinke S. et al. Angiographic assessment of collateral connections in comparison with invasively determined collateral function in chronic coronary occlusions. Circulation. 2003; 107(15):1972-1977. https://doi.org/10.1161/01.CIR.0000061953.72662.3A
  • McEntegart MB, Badar AA, Ahmad FA. et al. The collateral circulation of coronary chronic total occlusions. Eurolntervention. 2016; 11(14):e1596-1603. https://doi.org/10.4244/EIJV11I14A310
  • Huang CC. Lee CK, Meng SW, et al. Collateral Channel Size and Tortuosity Predict Retrograde Percutaneous Coronary Intervention Success for Chronic Total Occlusion. Circulation Cardiovascular interventions. 2018; 11:e005124.https://doi.org/10.1161/CIRCINTERVENTIONS.117.005124
  • Whitlow PL. Burke MN. Lombardi WL, et al. Use of novel crossing and re-entry system in coronary chronic total occlusions that have failed standard crossing techniques: results of the FAST-CTOS (Facilitated Antegrade Steering Technique in Chronic Total Occlusions) trial. JACC Cardiovasc Interv. 2012; 5(4):393-401. https://doi.org/10.1016/j.jcin.2012.01.014
  • Maeremans J, Walsh S. Knaapen P. et al. The hybrid algorithm for treating chronic total occlusions in Europe: The RECHARGE Registry. J Am Coll Cardiol. 2016; 68(18):1958-1970.
  • Colombo A. Mikhail GW, Michev I, et al. Treating chronic total occlusions using subintimal tracking and reentry: the STAR technique. Catheter Cardiovasc Interv. 2005; 64(4):407-412 https://doi.org/10.1002/ccd.20307
  • Galassi AR, Tomasello SD, Costanzo L. et al. Mini-STAR as bail-out strategy for percutaneous coronary intervention of chronic total occlusion. Catheter Cardiovasc Interv. 2012; 79(1):30-40. https://doi.org/10.1002/ccd.22998
  • Lombardi WL. Retrograde PCI: what will they think of next ? J Invasive Cardiol. 2009; 21(10):543.
  • Suzuki Y, Tsuchikane E, Katoh O, et al. Outcomes of Percutaneous Coronary Interventions for Chronic Total Occlusion Performed by Highly Experienced Japanese Specialists: The First Report From the Japanese CTO-PCI Expert Registry. JACC Cardiovasc Interv. 2017; 10(21):2144-2154. https://doi.org/10.1016/j.jcin.2017.06.024
  • Kinnaird T. Anderson R, Ossei-Gerning N, et al. Vascular access site and outcomes among 26, 807 chronic total coronary occlusion angioplasty cases from the British cardiovascular interventions society national database. JACC Cardiovasc Interv. 2017, 10(7); 635-644. https://doi.org/10.1016/j.jcin.2016.11.055
  • Galassi AR, Sumitsuji S, Boukhris M, et al. Utility of Intravascular Ultrasound in Percutaneous Revascularization of Chronic Total Occlusions: An Overview. JACC Cardiovasc Interv. 2016; 9(19): 1979-1991. https://doi.org/10.1016/j.jcin.2016.06.057
  • Burzotta F, Trani C, Mazzari MA, et al. Use of a second buddy wire during percutaneous coronary interventions: a simple solution for some challenging situations. J Invasive Cardiol. 2005;17(3):171-174.
  • Dautov R, Urena M, Nguyen CM, et al. Safety and effectiveness of the surfing technique to cross septal collateral channels during retrograde chronic total occlusion percutaneous coronary intervention. EuroIntervention. 2017;12(15):е1859-е1867. https://doi.org/10.4244/EIJ-D-16-00650
  • Surmely JF, Tsuchikane E. Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique. J Invasive Cardiol. 2006; 18(7):334-338.
  • Rathore S, Katoh O, Tuschikane E, et al. A novel modification of the retrograde approach for the recanalization of chronic total occlusion of the coronary arteries intravascular ultrasound-guided reverse controlled antegrade and retrograde tracking. JACC Cardiovasc Interv. 2010; 3(2):155-164. https://doi.org/10.1016/j.jcin.2009.10.030
  • Kim MH, Yu LH, Mitsudo K. A new retrograde wiring technique for chronic total occlusion. Catheter Cardiovasc Interv. 2010; 75(1):117-119. https://doi.org/10.1002/ccd.22152
  • Muramatsu T, Tsukahara R, Ito Y. "Rendezvous in coronary" technique with the retrograde approach for chronic total occlusion. J Invasive Cardiol. 2010; 22 (9):E179- E182.