The indications and utility of adjunctive imaging modalities for chronic total occlusion (CTO) intervention

Usaid K. Allahwala; Emmanouil S. Brilakis; Hosen Kiat; Sally Ayesa; Daniel Nour; Michael Ward; Sidney Lo; James C. Weaver; Ravinay Bhindi

doi:10.1007/s12350-020-02381-0

The indications and utility of adjunctive imaging modalities for chronic total occlusion (CTO) intervention

Usaid K. Allahwala, Emmanouil S. Brilakis, Hosen Kiat, Sally Ayesa, Daniel Nour, Michael Ward, Sidney Lo, James C. Weaver, Ravinay Bhindi

Western Sydney University

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Coronary chronic total occlusions (CTO) are common in patients undergoing coronary angiography, yet the optimal management strategy remains uncertain, with conflicting results from randomized trials. Appropriate patient selection and careful periprocedural planning are imperative for successful patient management. We review the role of adjunctive imaging modalities including myocardial perfusion imaging (MPI), cardiac magnetic resonance imaging (CMR), echocardiography and computed tomography coronary angiography (CTCA) in myocardial ischemic quantification, myocardial viability assessment, as well as procedural planning for CTO revascularization. An appreciation of the value, indications and limitations of these modalities prior to planned intervention are essential for optimal management.

Original language	English
Pages (from-to)	2597-2608
Number of pages	12
Journal	Journal of Nuclear Cardiology
Volume	28
Issue number	6
DOIs	https://doi.org/10.1007/s12350-020-02381-0
Publication status	Published - Dec 2021

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Publisher Copyright:
© 2020, American Society of Nuclear Cardiology.

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abstract = "Coronary chronic total occlusions (CTO) are common in patients undergoing coronary angiography, yet the optimal management strategy remains uncertain, with conflicting results from randomized trials. Appropriate patient selection and careful periprocedural planning are imperative for successful patient management. We review the role of adjunctive imaging modalities including myocardial perfusion imaging (MPI), cardiac magnetic resonance imaging (CMR), echocardiography and computed tomography coronary angiography (CTCA) in myocardial ischemic quantification, myocardial viability assessment, as well as procedural planning for CTO revascularization. An appreciation of the value, indications and limitations of these modalities prior to planned intervention are essential for optimal management.",

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AU - Brilakis, Emmanouil S.

AU - Kiat, Hosen

AU - Ayesa, Sally

AU - Nour, Daniel

AU - Ward, Michael

AU - Lo, Sidney

AU - Weaver, James C.

AU - Bhindi, Ravinay

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AB - Coronary chronic total occlusions (CTO) are common in patients undergoing coronary angiography, yet the optimal management strategy remains uncertain, with conflicting results from randomized trials. Appropriate patient selection and careful periprocedural planning are imperative for successful patient management. We review the role of adjunctive imaging modalities including myocardial perfusion imaging (MPI), cardiac magnetic resonance imaging (CMR), echocardiography and computed tomography coronary angiography (CTCA) in myocardial ischemic quantification, myocardial viability assessment, as well as procedural planning for CTO revascularization. An appreciation of the value, indications and limitations of these modalities prior to planned intervention are essential for optimal management.

UR - https://hdl.handle.net/1959.7/uws:66081

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JO - Journal of Nuclear Cardiology

JF - Journal of Nuclear Cardiology

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ER -

The indications and utility of adjunctive imaging modalities for chronic total occlusion (CTO) intervention

Abstract

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