aufklappen zuklappen Ausgewählte Filter Noch keine Filter ausgewählt; aufklappen zuklappen Treffer Soziale Netze 1; Web 173; Gesamt 174; aufklappen zuklappen Quellen Wikipedia 118. In addition, new data presented by Hong et al show higher procedural success rates and fewer complications for patients randomised to CT-guided CTO PCI versus patients without CT guidance23. Brigitte Bathgate Oberärztin der Medizinischen Klinik I Dr. med. Mintz GS. Coronary CT angiography. Structural Interventional Cardiology, Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy; 21. Prof. Dr. med. Fachabteilung, Arzt, Behandlung suchen. JACC Cardiovasc Imaging. Facharzt für Innere Medizin Helios Klinikum Krefeld Medizinische Klinik I Lutherplatz 40 47805 Krefeld Jetzt auf Karte Ansehen Versicherungsart: Alle Sprachen: Sie sind PD Dr. med. Changes in grafted and nongrafted coronary arteries following saphenous vein bypass grafting. EuroIntervention. This paper provides a comprehensive overview of contemporary interventional management of heavily calcified CTOs, suggesting an integrated diagnostic/therapeutic approach to guide the choice between available treatment options and optimise procedural results. 28. Kardiologische und herzchirurgische Station des Herzzentrums. 39. Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases Very high-pressure balloon inflation should be avoided in these cases, as there is a risk of non-focal, large extraplaque vessel perforations. Penetration of a heavily calcified proximal cap can be performed using a high tip-load guidewire (Central illustration, Table 2, Figure 3). Das Helios Klinikum Krefeld, das Helios St. Josefshospital Uerdingen und das Helios Cäcilien-Hospital Hüls firmieren seit Januar 2023 als ein Klinikum unter dem Dach der Helios Klinikum Krefeld GmbH.... Mit Helios finden Sie für jedes gesundheitliche Anliegen das richtige Angebot. Circulation. Tajti P, Karmpaliotis D, Alaswad K, Jaffer FA, Yeh RW, Patel M, Mahmud E, Choi JW, Burke MN, Doing AH, Dattilo P, Toma C, Smith AJC, Uretsky B, Holper E, Wyman RM, Kandzari DE, Garcia S, Krestyaninov O, Khelimskii D, Koutouzis M, Tsiafoutis I, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Doshi D, Rangan BV, Ungi I, Banerjee S, Brilakis ES. Am J Cardiol. Humanitas Clinical and Research Center IRCCS, Rozzano, Milan, Italy; 11. Heinrich Klues Chefarzt der Medizinischen Klinik I Prof. Dr. med. Algorithm for CTO crossing and lesion preparation in heavily calcified CTO. J Am Coll Cardiol. Wir widmen uns einem sensiblen Bereich Ihres Körpers mit ebenso sanften, minimalinvasiven Methoden und individuellen Therapien - in jedem Lebensalter. The site is secure. Rainer Ott Leitender Oberarzt der Medizinischen Klinik I Dr. med. 2012;79:28-9. Harding SA, Wu EB, Lo S, Lim ST, Ge L, Chen JY, Quan J, Lee SW, Kao HL, Tsuchikane E. A New Algorithm for Crossing Chronic Total Occlusions From the Asia Pacific Chronic Total Occlusion Club. 2017;90:12-20. Das Einverständnis in die Verwendung der Cookies können Sie jederzeit widerrufen. 47805 Krefeld - https://www.helios-gesundheit.de. Figure 2. Impressum Improvement of Symptoms and Quality of Life After Successful Percutaneous Coronary Intervention for Chronic Total Occlusion in Elderly Patients. 2014;35:1683-93. As such, the use of high tip-load guidewires and dedicated microcatheters, as described above, may be required throughout the occlusion. Alle optionalen Cookies akzeptieren 2023 Apr 20. doi: 10.1007/s11010-023-04735-x. 0800 633 4946. 1. Hospital Clinico San Carlos IDISSC, Complutense University of Madrid, Madrid, Spain; 17. Prof. Dr. med. BAM: balloon-assisted microdissection; BASE: balloon-assisted subintimal entry; CTO: chronic total occlusion; GC: guiding catheter; GW: guidewire; IVL: intravascular lithotripsy; IVUS: intravascular ultrasound; NC: non-compliant; OPN: ultrahigh pressure, Figure 3. Basis Ganzes Profil ansehen Student, Business Administration, Warwick Business School Krefeld, Deutschland Logg Dich ein, um alle Einträge zu sehen. Figure 5. Cathet Cardiovasc Diagn. Alexander Bufe, Facharzt für Innere Medizin in Krefeld, Lutherplatz 40. 3. 38. Bufe in Krefeld. The use of ADR for heavily calcified CTOs is facilitated by a large distal vessel without significant calcification, in order to be able to re-enter the vessel lumen by puncturing through the calcified vascular layers37. Detaillierte Informationen zur Fachabteilung Herzzentrum Niederrhein - Klinik für Herzchirurgie und herznahe Gefäßchirurgie in 47805 Krefeld des Krankenhauses Helios Klinikum Krefeld 40. Elrayes MM, Xenogiannis I, Nikolakopoulos I, Vemmou E, Wollmuth J, Abi Rafeh N, Karmpaliotis D, Gasparini GL, Burke MN, Brilakis ES. Dual coronary angiography and in-depth and structured review of the angiogram (and, if available, coronary computed tomography angiography) are key for planning and safely performing CTO-PCI. 2022;99:497-501. J Nucl Med. Wir sind spezialisiertes Behandlungszentrum für Prostatkrebs. Despite the advantages associated with the use of CCTA in the context of heavily calcified CTOs, inherent limitations of the technique may reduce image quality. Prof. Dr. med. from PCRonline.com, The Official Journal of EuroPCR and the European Associationof Percutaneous Coronary Interventions Intraplaque CTO tracking is almost always associated with high friction due to the advancement of equipment through the calcified segment. 2006;97:1455-62. 34. 2018;11:209-17. : 08.30 am to 03.00 pm), - Transcatheter aortic valve implantation (TAVI), Chief Physician at Helios Hospital Krefeld, «Recanalisation of chronic total coronary occlusions. Seit 2013 ist Priv.-Doz. Srivatsa et al showed that the content of calcium increases with advancing age of the CTO11. Furthermore, only 4% of IS CTO lesions had 10% of neointimal calcification of the area/stent area, which is significantly lower compared to the 48% previously found in native CTO lesions by Sakakura et al12. government site. Nutzen Sie unser Netzwerk aus Akutkliniken, ambulanten Praxen, Rehakliniken und –zentren sowie Pflegeeinrichtungen, Privatkliniken und Präventionszentren. 1974;50:293-300. Dr. Shin) Unsere Sprechzeiten und Ambulanzen. Catheter Cardiovasc Interv. Kawakami R, Hao H, Takagi Y, Fujino A, Tsuchida YA, Imanaka T, Fujii K, Hirota S. Drug-Eluting Stent Implantation on Calcified Nodule: Ex Vivo Intravascular Images and Histopathology. This EuroCTO consensus document describes current DLMC and suggests a practical guide to anatomies and techniques in which these devices are applicable. 2018;11:127-42. FREE ARTICLE - Amerjeet Singh Banning et al, Early safety and feasibility of a first-in-class biomimetic transcatheter aortic valve (DurAVR), TAVI for bicuspid aortic valves with Evolut platform, Online ISSN 1969-6213 - Print ISSN 1774-024X, Other valvular and structural interventions. Albrecht D, Kaspers S, Fussl R, Hopp HW, Sechtem U. Coronary plaque morphology affects stent deployment: assessment by intracoronary ultrasound. Stent delivery through heavily calcified, atherosclerotic coronary arteries can induce polymer damage and cause impaired drug delivery, paving the way to restenosis and stent thrombosis6. Of note, extraplaque techniques can also be used to resolve the problem of uncrossable caps or lesions. Balloon-Assisted Microdissection “BAM” Technique for Balloon-Uncrossable Chronic Total Occlusions. Sakakura et al performed a histopathological comparison of 95 CTO lesions from 82 patients, dividing them according to the CTO duration and the presence of anastomoses of coronary artery bypass grafting (CABG)12. 2012 habilitierte Prof. Dr. med. 9. 2014;78:2209-14. (Fax) Sind Sie Priv.-Doz. Azzalini et al showed that patients undergoing rotational atherectomy during CTO PCI have similar long-term major adverse cardiac event rates as compared to other CTO patients, despite higher patient risk profiles and higher procedural complexity38. Tel: 02151 32-0. Mastering antegrade and retrograde dissection-re-entry (RDR) techniques is recommended before embarking on heavily calcified CTO treatment. Circulation. JACC Cardiovasc Imaging. Franz-Xaver Schmid. C) The three-dimensional computed tomographic reconstruction of the native coronary arteries (occluded LAD indicated with the asterisk), as well as the grafts. Once wire-based crossing is successfully performed, device (microcatheter, balloon) crossing should be attempted. 32. Catheter Cardiovasc Interv. Zhao S, Wang J, Chen Y, Wang W, Hu W, Zou Y, Zhu B, Yang L, Chen G, Yu T, Han P, Ma B, Wang H, Xia C, Wang R, Tan Z, Zhai Z, Li R, Gao H, Lian K, Li C. J Am Heart Assoc. Catheter Cardiovasc Interv. Grades [I44.2], Datengrundlage sind Qualitätsberichte der Krankenhäuser gemäß § 137 Abs. The vessel course and tortuosity are revealed angiographically to be heavily calicified. Medizinische Klinik I (Cardiology & Intensive Care), Klinikum Darmstadt GmbH, Darmstadt, Germany; 4. The Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (PROGRESS-CTO) score was developed to estimate technical success using the “hybrid approach”17 and was validated in a patient population treated by experienced operators in high-volume centres of excellence14. Brilakis ES, Banerjee S. Dancing with the “STAR”: the role of subintimal dissection/re-entry strategies in coronary chronic total occlusion interventions. 2017;27:2464-73. Chefarzt der Klinik für Urologie und Kinderurologie, Chefarztsekretärin der Klinik für Urologie und Kinderurologie. C) Once inside the extraplaque space, the polymer-jacketed guidewire is pushed forward to form a knuckle, bypassing the heavily calcified occlusive plaque. Catheter Cardiovasc Interv. Notably, the impact was greater for patients with more complex CTO anatomies, expressed as higher J-CTO scores (≥2). © 2022 Alle Rechte vorbehalten. Maurer BJ, Oberman A, Holt JH Jr, Kouchoukos NT, Jones WB, Russell RO Jr, Reeves TJ. 2015;8:461-71. 2019;15:198-208. Several algorithms have been introduced to establish a systematic approach in CTO crossing and to optimise the use of equipment and resources. Wir helfen Ihnen bei Ihren Anliegen gerne persönlich weiter. EuroIntervention 2023;19:e113-e122. In Anerkennung seines Engagements, seiner wissenschaftlichen Arbeit und außerordentlichen klinischen Tätigkeit, hat die Universität Witten / Herdecke den gebürtigen Westfalen nun zum außerplanmäßigen Professor ernannt. Ihre Auswahl können Sie jederzeit über den Link "Datenschutz-Einstellungen" im Footer ändern. - Interventional therapy of acute myocardial infarction, We speak german, english, russian, arabic and french, Specialities (${ items.specialisms.length }), Helios International Office (Mon.-Thurs. A device-uncrossable lesion is defined as a lesion in which any low-profile balloons and/or microcatheters are unable to cross, following successful wire crossing (Table 2, Central illustration). Intravascular ultrasound in CTO PCI. Vo et al showed in a limited patient group that the use of the BAM technique to facilitate CTO recanalisation was effective in approximately 50% of cases33.