Advances in the Post-coronary Artery Bypass Graft Management of Occlusive Coronary Artery Disease.
Rahman, Mohammed Shamim de Winter, Ruben Nap, Alex Knaapen, Paul
Rahman, Mohammed Shamim
de Winter, Ruben
Nap, Alex
Knaapen, Paul
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Affiliation
Sandwell and West Birmingham NHS Trust; Amsterdam Medical Centre
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Publication date
2021-12-24
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Abstract
Revascularisation of chronic total occlusion (CTO) represents one of the most challenging aspects of percutaneous coronary intervention, but advances in equipment and an understanding of CTO revascularisation techniques have resulted in considerable improvements in success rates. In patients with prior coronary artery bypass grafting (CABG) surgery, additional challenges are encountered. This article specifically explores these challenges, as well as antegrade methods of CTO crossing. Techniques, equipment that can be used and reference texts are highlighted with the aim of providing potential CTO operators adequate information to tackle additional complexities likely to be encountered in this cohort of patients. This review forms part of a wider series where additional aspects of patients with prior CABG should be factored into decisions and methods of revascularisation.
Citation
Rahman, M. S., de Winter, R., Nap, A., & Knaapen, P. (2021). Advances in the Post-coronary Artery Bypass Graft Management of Occlusive Coronary Artery Disease. Interventional cardiology (London, England), 16, e33.
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