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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 radiation dose during CTO recanalization according to the work experience
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Figure 0003: Maximum accepted radiation dose during CTO recanalization according to the work experience

Mentions: The highest dose of radiation accepted by 72% of respondents is 5 Gy (it was also the lowest radiation dose that could be chosen in the questionnaire), 24% of operators accept a radiation dose not greater than 10 Gy, and none chose the highest radiation dose of 15 Gy. Three percent of respondents accepted a different radiation dose, which was not given in the answers. The lowest accepted dose was more often chosen by respondents with shorter work experience, without cardiology specialization, with less experience in CTO procedures and those who accept lower contrast volumes during procedures (Figure 3).


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 radiation dose during CTO recanalization according to the work experience
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Maximum accepted radiation dose during CTO recanalization according to the work experience
Mentions: The highest dose of radiation accepted by 72% of respondents is 5 Gy (it was also the lowest radiation dose that could be chosen in the questionnaire), 24% of operators accept a radiation dose not greater than 10 Gy, and none chose the highest radiation dose of 15 Gy. Three percent of respondents accepted a different radiation dose, which was not given in the answers. The lowest accepted dose was more often chosen by respondents with shorter work experience, without cardiology specialization, with less experience in CTO procedures and those who accept lower contrast volumes during procedures (Figure 3).

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