Limits...
Knowledge of chronic total occlusion among Polish interventional cardiologists.

Bryniarski KL, Zabojszcz M, Dębski G, Marchewka J, Legutko J, Surowiec S, Siudak Z, Żmudka K, Dudek D, Bryniarski L - Postepy Kardiol Interwencyjnej (2015)

Bottom Line: In the study there participated 113 physicians with an average length of work experience of 13 years, most of them cardiologists certified as independent primary operators.Prevention of renal complications and X-ray protection are also recognized as a significant part of the procedures.The benefits from the use of over-the-wire microcatheters and balloons, the proper choice of dedicated guidewires, contralateral injections and retrograde technique are underestimated.

View Article: PubMed Central - PubMed

Affiliation: Department of Interventional Cardiology, Cardiology Institute, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland.

ABSTRACT

Introduction: Chronic total occlusion (CTO) recanalization is indicated in patients with symptoms and evidence of ischemia, but in most cases those types of lesions are still treated medically. In the last few years CTO angioplasty technique has changed dramatically due to considerable advances in techniques and dedicated equipment.

Aim: An attempt to assess the state of knowledge of technical aspects of CTO angioplasty of coronary arteries among Polish interventional cardiologists.

Material and methods: Questionnaire survey performed during two major Polish invasive cardiology workshops.

Results: In the study there participated 113 physicians with an average length of work experience of 13 years, most of them cardiologists certified as independent primary operators. The majority of respondents recognized the need of prevention of thrombotic complications through control of activated coagulation time during the CTO procedures. Prevention of renal complications and X-ray protection are also recognized as a significant part of the procedures. The benefits from the use of over-the-wire microcatheters and balloons, the proper choice of dedicated guidewires, contralateral injections and retrograde technique are underestimated.

Conclusions: Despite satisfactory knowledge about indications and qualification for the CTO procedure, the awareness of procedural aspects (particularly the retrograde technique) as well as the dedicated CTO equipment among Polish interventional cardiologists is still insufficient.

No MeSH data available.


Related in: MedlinePlus

Maximum accepted contrast volume according to the work experience
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4495123&req=5

Figure 0002: Maximum accepted contrast volume according to the work experience

Mentions: In most cases (93%) operators limit the amount of contrast based on the value of the glomerular filtration rate (GFR). Most frequently (52% of answers) the upper limit of contrast was indicated as 4–6 × GFR ml. In 36% of cases operators stop the procedure when the volume of contrast reaches 6–8 × GFR ml and 12% of physicians accept as high contrast volume as 8 × GFR ml. Interestingly, the lowest upper limit of contrast (4–6 × GFR) was indicated more frequently by operators with shorter work experience (Figure 2).


Knowledge of chronic total occlusion among Polish interventional cardiologists.

Bryniarski KL, Zabojszcz M, Dębski G, Marchewka J, Legutko J, Surowiec S, Siudak Z, Żmudka K, Dudek D, Bryniarski L - Postepy Kardiol Interwencyjnej (2015)

Maximum accepted contrast volume according to the work experience
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4495123&req=5

Figure 0002: Maximum accepted contrast volume according to the work experience
Mentions: In most cases (93%) operators limit the amount of contrast based on the value of the glomerular filtration rate (GFR). Most frequently (52% of answers) the upper limit of contrast was indicated as 4–6 × GFR ml. In 36% of cases operators stop the procedure when the volume of contrast reaches 6–8 × GFR ml and 12% of physicians accept as high contrast volume as 8 × GFR ml. Interestingly, the lowest upper limit of contrast (4–6 × GFR) was indicated more frequently by operators with shorter work experience (Figure 2).

Bottom Line: In the study there participated 113 physicians with an average length of work experience of 13 years, most of them cardiologists certified as independent primary operators.Prevention of renal complications and X-ray protection are also recognized as a significant part of the procedures.The benefits from the use of over-the-wire microcatheters and balloons, the proper choice of dedicated guidewires, contralateral injections and retrograde technique are underestimated.

View Article: PubMed Central - PubMed

Affiliation: Department of Interventional Cardiology, Cardiology Institute, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland.

ABSTRACT

Introduction: Chronic total occlusion (CTO) recanalization is indicated in patients with symptoms and evidence of ischemia, but in most cases those types of lesions are still treated medically. In the last few years CTO angioplasty technique has changed dramatically due to considerable advances in techniques and dedicated equipment.

Aim: An attempt to assess the state of knowledge of technical aspects of CTO angioplasty of coronary arteries among Polish interventional cardiologists.

Material and methods: Questionnaire survey performed during two major Polish invasive cardiology workshops.

Results: In the study there participated 113 physicians with an average length of work experience of 13 years, most of them cardiologists certified as independent primary operators. The majority of respondents recognized the need of prevention of thrombotic complications through control of activated coagulation time during the CTO procedures. Prevention of renal complications and X-ray protection are also recognized as a significant part of the procedures. The benefits from the use of over-the-wire microcatheters and balloons, the proper choice of dedicated guidewires, contralateral injections and retrograde technique are underestimated.

Conclusions: Despite satisfactory knowledge about indications and qualification for the CTO procedure, the awareness of procedural aspects (particularly the retrograde technique) as well as the dedicated CTO equipment among Polish interventional cardiologists is still insufficient.

No MeSH data available.


Related in: MedlinePlus