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Title: The indications and utility of adjunctive imaging modalities for chronic total occlusion (CTO) intervention
Authors: Allahwala, Usaid K;Brilakis, Emmanouil S;Kiat, Hosen;Ayesa, Sally ;Nour, Daniel;Ward, Michael;Lo, Sidney;Weaver, James C;Bhindi, Ravinay
Affliation: Central Coast Local Health District
Issue Date: Dec-2021
Source: 28(6):2597-2608
Journal title: Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
Department: Radiology
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.
DOI: 10.1007/s12350-020-02381-0
Publicaton type: Journal Article
Keywords: Radiology
Diagnostic Imaging
Appears in Collections:Radiology

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