Training standards and recommendations for intervention on chronic total occlusions

Singbal, Yash and Lim, Richard (2015) Training standards and recommendations for intervention on chronic total occlusions. Current Cardiology Reviews, 11 4: 328-333. doi:10.2174/1573403X11666150909110709

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Author Singbal, Yash
Lim, Richard
Title Training standards and recommendations for intervention on chronic total occlusions
Journal name Current Cardiology Reviews   Check publisher's open access policy
ISSN 1875-6557
1573-403X
Publication date 2015-11-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.2174/1573403X11666150909110709
Open Access Status Not Open Access
Volume 11
Issue 4
Start page 328
End page 333
Total pages 6
Place of publication Bussum, Netherlands
Publisher Bentham Science Publishers
Collection year 2016
Language eng
Abstract Despite major advances in coronary intervention, the recanalization of a chronic total occlusion (CTO) remains a challenge for many interventional cardiologists. Complex anatomy and lesion characteristics demand a special set of skills for procedural success. Provided patient selection is appropriate, CTO intervention can confer a variety of benefits including relief of angina, improvement in left ventricular function and reduction in ischemic burden. The chances of procedural success are enhanced by having a dedicated CTO program. This involves adequate training of staff, quality control and availability of equipment. A diverse toolkit allows variation in strategy and increases procedural success. Further, skills and equipment are required to manage complications like vessel dissection, perforation and the resultant ischemic or mechanical complications. These procedures can often be lengthy and giving careful consideration to peri-procedural issues like radiation exposure and contrast dose plays a vital role in ensuring optimal patient outcomes and radiation hygiene. In this article we review the evidence behind indications for CTO intervention and discuss the development of a CTO program.
Keyword Chronic total occlusion
Percutaneous coronary intervention
Training standards
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2016 Collection
School of Medicine Publications
 
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