Evidence map›Paper›PMID 28373785›Full record

ReviewJournal of the Saudi Heart Association2017

Chronic total coronary occlusion recanalization: Current techniques and new devices.

Jan-Erik Gülker, Lars Bansemir, Heinrich G Klues, Alexander Bufe

Abstract readReview
In one paragraph

Review in Journal of the Saudi Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Does the effectiveness of recanalization of chronic occlusion depend on the location of the obstruction?Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jan-Erik GülkerHeart Centre Niederrhein, Department of Cardiology, HELIOS Clinics Krefeld, Krefeld, aGermany; Institute for Heart and Circulation Research, University of Cologne, Kerpener Straße 62 50937, Cologne, aGermany.
Lars BansemirHeart Centre Niederrhein, Department of Cardiology, HELIOS Clinics Krefeld, Krefeld, aGermany; Institute for Heart and Circulation Research, University of Cologne, Kerpener Straße 62 50937, Cologne, aGermany.
Heinrich G KluesHeart Centre Niederrhein, Department of Cardiology, HELIOS Clinics Krefeld, Krefeld, aGermany; Institute for Heart and Circulation Research, University of Cologne, Kerpener Straße 62 50937, Cologne, aGermany.
Alexander BufeHeart Centre Niederrhein, Department of Cardiology, HELIOS Clinics Krefeld, Krefeld, aGermany; Institute for Heart and Circulation Research, University of Cologne, Kerpener Straße 62 50937, Cologne, aGermany; Witten/Herdecke University, Witten, aGermany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous coronary intervention (PCI) of total chronic coronary occlusion (CTO) still remains a major challenge. The prevalence of a CTO has been reported to be up to 30% among patients with a clinical indication for coronary angiography. Progress has been made with further advanced interventional techniques and continuously sophisticated interventional tools. Nevertheless the number of interventions carried out to recanalize a CTO is less than 10% of all procedures. Benefits of a successful CTO recanalization include relief of angina pectoris and ischemia-related dyspnea, substantial improvement in left ventricular function and, avoidance of surgery treatment. A vast variety of new CTO PCI techniques and materials has been introduced into clinical practise and pushed success rates of reopening a CTO up to around 90% in experienced hands. Particulary the introduction of the retrograde technique was a milestone. New developed microcatheters and special polymer coated wires allow to recanalize via small collaterals and vessels. Other tools such as intravascular ultrasound (IVUS) and multislice computertomography (MSCT) help to identify the anatomy and the characteristic of the lesions. Any invasive cardiac center should adopt CTO PCI procedures as standard therapy.

objectiveThis review wants to assess and describe the latest development in CTO recanalization strategies.

Indexed as

Chronic total occlusionCoronary artery diseaseLatest developmentRecanalization strategiesTechnical innovation

Identifiers

PMID28373785
PMCPMC5366668

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.