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Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion

Chronic total coronary occlusions (CTO) are documented in approximately one fifth of diagnostic invasive coronary angiographies (ICA). Percutaneous coronary interventions (PCI) of CTO are challenging and are accompanied by higher complication and lower success rates in comparison with non-CTO PCI. S...

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Autores principales: Stuijfzand, Wijnand J., Raijmakers, Pieter G., Driessen, Roel S., van Royen, Niels, Nap, Alexander, van Rossum, Albert C., Knaapen, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442975/
https://www.ncbi.nlm.nih.gov/pubmed/26029338
http://dx.doi.org/10.1007/s12410-015-9340-2
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author Stuijfzand, Wijnand J.
Raijmakers, Pieter G.
Driessen, Roel S.
van Royen, Niels
Nap, Alexander
van Rossum, Albert C.
Knaapen, Paul
author_facet Stuijfzand, Wijnand J.
Raijmakers, Pieter G.
Driessen, Roel S.
van Royen, Niels
Nap, Alexander
van Rossum, Albert C.
Knaapen, Paul
author_sort Stuijfzand, Wijnand J.
collection PubMed
description Chronic total coronary occlusions (CTO) are documented in approximately one fifth of diagnostic invasive coronary angiographies (ICA). Percutaneous coronary interventions (PCI) of CTO are challenging and are accompanied by higher complication and lower success rates in comparison with non-CTO PCI. Scrutinous evaluation of ischemia and viability to justify percutaneous revascularization is therefore of importance to select eligible patients for such a procedure. Furthermore, knowledge of the anatomical features of the occlusion may predict the chances of success of PCI CTO and could even guide the procedural strategy to augment the likelihood of recanalization. Positron emission tomography (PET) is unequivocally accepted as the reference standard for ischemia and viability testing, whereas coronary computed tomography angiography (CCTA) currently allows for non-invasive detailed three-dimensional imaging of the coronary anatomy that adds morphological information over two-dimensional ICA. Hybrid PET/CT could therefore be useful for optimal patient selection as well as procedural planning. This review discusses the potential value of PET/CT to guide PCI in CTOs.
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spelling pubmed-44429752015-05-29 Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion Stuijfzand, Wijnand J. Raijmakers, Pieter G. Driessen, Roel S. van Royen, Niels Nap, Alexander van Rossum, Albert C. Knaapen, Paul Curr Cardiovasc Imaging Rep Cardiac Computed Tomography (TC Villines, Section Editor) Chronic total coronary occlusions (CTO) are documented in approximately one fifth of diagnostic invasive coronary angiographies (ICA). Percutaneous coronary interventions (PCI) of CTO are challenging and are accompanied by higher complication and lower success rates in comparison with non-CTO PCI. Scrutinous evaluation of ischemia and viability to justify percutaneous revascularization is therefore of importance to select eligible patients for such a procedure. Furthermore, knowledge of the anatomical features of the occlusion may predict the chances of success of PCI CTO and could even guide the procedural strategy to augment the likelihood of recanalization. Positron emission tomography (PET) is unequivocally accepted as the reference standard for ischemia and viability testing, whereas coronary computed tomography angiography (CCTA) currently allows for non-invasive detailed three-dimensional imaging of the coronary anatomy that adds morphological information over two-dimensional ICA. Hybrid PET/CT could therefore be useful for optimal patient selection as well as procedural planning. This review discusses the potential value of PET/CT to guide PCI in CTOs. Springer US 2015-05-26 2015 /pmc/articles/PMC4442975/ /pubmed/26029338 http://dx.doi.org/10.1007/s12410-015-9340-2 Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Cardiac Computed Tomography (TC Villines, Section Editor)
Stuijfzand, Wijnand J.
Raijmakers, Pieter G.
Driessen, Roel S.
van Royen, Niels
Nap, Alexander
van Rossum, Albert C.
Knaapen, Paul
Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion
title Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion
title_full Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion
title_fullStr Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion
title_full_unstemmed Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion
title_short Value of Hybrid Imaging with PET/CT to Guide Percutaneous Revascularization of Chronic Total Coronary Occlusion
title_sort value of hybrid imaging with pet/ct to guide percutaneous revascularization of chronic total coronary occlusion
topic Cardiac Computed Tomography (TC Villines, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442975/
https://www.ncbi.nlm.nih.gov/pubmed/26029338
http://dx.doi.org/10.1007/s12410-015-9340-2
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