ReviewJournal of cardiovascular development and disease2024
The Role of Coronary Imaging in Chronic Total Occlusions: Applications and Future Possibilities.
Review in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed.
- Intravascular Imaging-Guided Percutaneous Coronary Intervention for Calcified Coronary Lesions: A Network Meta-Analysis.JACC. Advances · 2026Article
- From intravascular imaging to adaptive vascular care: intelligent photonics and digital twins in panvascular disease.Light, science & applications · 2026Review
- The association between the advanced lung cancer inflammation index and successful antegrade recanalization in patients with coronary chronic total occlusion: a retrospective cross-sectional study.BMC cardiovascular disorders · 2026Article
- Beyond the Thrombus: Imaging-Guided Management of Acute Coronary Syndrome.Clinical case reports · 2026Article
- Impact of coronary calcium patterns on procedural outcomes in CTO-PCI: a computed tomography-based multicenter study.Cardiovascular intervention and therapeutics · 2026Article
- Reliability of Immersive Virtual Reality for Pre-Procedural Planning for TAVI: A CT-Based Validation.Journal of cardiovascular development and disease · 2025Article
- Comparative Impact of Coronary Imaging Strategies in CTO-PCI: A Retrospective Single-Center Analysis.Journal of clinical medicine · 2025Article
- Advances in Cardiovascular Imaging: A Platform to Share Recent Research Findings Through Utilization of Advanced Imaging Technologies.Journal of cardiovascular development and disease · 2025Article
- Prevalence and Clinical Parameters Associated With Chronic Total Occlusions in Patients With Chronic Coronary Syndromes: Insights From a Nationwide Registry.Health science reports · 2025Article
- Visceral Obesity and Its Association with Severe Coronary Artery Calcification in Patients with Metabolic Dysfunction-Associated Steatotic Liver Disease.Diagnostics (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chronic total occlusions (CTOs) represent a challenging scenario in coronary artery disease (CAD). The prevalence of CTOS in patients undergoing coronary angiography underscores the need for effective diagnostic and therapeutic strategies. Coronary angiography, while essential, offers limited insights into lesion morphology, vessel course, and myocardial viability. In contrast, coronary imaging techniques-including optical coherence tomography (OCT), intravascular ultrasound (IVUS), and coronary computed tomography angiography (CCTA)-provide comprehensive insights for each stage of CTO percutaneous coronary intervention (PCI). OCT facilitates the assessment of plaque morphology and stent optimization, despite low evidence and several limitations in CTO-PCI. IVUS offers deeper penetration, allowing managing proximal cap scenarios and guiding subintimal navigation. CCTA provides a non-invasive, three-dimensional view of coronary anatomy, enabling the precise evaluation of myocardial mass at risk and detailed procedural planning. Despite their individual limitations, these imaging modalities have enhanced the success rates of CTO-PCI, thus reducing procedural and long-term complications and improving patient outcomes. The future of CTO management lies in further technological advancements, including hybrid imaging, artificial intelligence (AI) integration, and improved fusion imaging. These innovations promise to refine procedural precision and personalize interventions, ultimately improving the care of patients with complex coronary artery disease.
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