Evidence map›Paper›PMID 37767372›Full record

ReviewFrontiers in cardiovascular medicine2023

The role of intravascular imaging in chronic total occlusion percutaneous coronary intervention.

Iosif Xenogiannis, Antonis N Pavlidis, Thomas E Kaier, Angelos G Rigopoulos, Grigoris V Karamasis, Andreas S Triantafyllis, Panos Vardas, Emmanouil S Brilakis, Andreas S Kalogeropoulos

Abstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Clinical outcomes of drug-coated balloonsCardiovascular diagnosis and therapy · 2026
    Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Recent Advances in Coronary Chronic Total Occlusions.Journal of clinical medicine · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
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

9 authors.

Iosif XenogiannisDepartment of Cardiology, Mitera General Hospital, Hygeia HealthCare Group, Athens, Greece.
Antonis N PavlidisDepartment of Cardiology, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Thomas E KaierDepartment of Cardiology, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Angelos G RigopoulosDepartment of Cardiology, Mitera General Hospital, Hygeia HealthCare Group, Athens, Greece.
Grigoris V KaramasisSecond Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.
Andreas S TriantafyllisDepartment of Cardiology, Asklepion General Hospital, Athens, Greece.
Panos VardasDepartment of Cardiology, Mitera General Hospital, Hygeia HealthCare Group, Athens, Greece.
Emmanouil S BrilakisCenter for Coronary Artery Disease, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, MN, United States.
Andreas S KalogeropoulosDepartment of Cardiology, Mitera General Hospital, Hygeia HealthCare Group, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic total occlusions (CTOs) represent the most complex subset of coronary artery disease and therefore careful planning of CTO percutaneous coronary recanalization (PCI) strategy is of paramount importance aiming to achieve procedural success, and improve patient's safety and post CTO PCI outcomes. Intravascular imaging has an essential role in facilitating CTO PCΙ. First, intravascular ultrasound (IVUS), due to its higher penetration depth compared to optical coherence tomography (OCT), and the additional capacity of real-time imaging without need for contrast injection is considered the preferred imaging modality for CTO PCI. Secondly, IVUS can be used to resolve proximal cap ambiguity, facilitate wire re-entry when dissection and re-entry strategies are applied and most importantly to guide stent deployment and optimization post implantation. The role of OCT during CTO PCI is currently limited to stent sizing and optimization, however, due to its high spatial resolution, OCT is ideal for detecting stent edge dissections and strut malapposition. In this review, we describe the use of intravascular imaging for lesion crossing, plaque characterization and wire tracking, extra- or intra-plaque, and stent sizing and optimization during CTO PCI and summarize the findings of the major studies in this field.

Indexed as

chronic total occlusion (CTO)CTO crossingintravascular imagingintravascular ultrasound (IVUS)optical coherence tomography (OCT)stent optimization

Identifiers

PMID37767372
PMCPMC10520251

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Registered trials

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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.