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Hypotension During Chronic Total Occlusion Recanalization
1Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Insights
Chronic total occlusion (CTO) interventions can cause hemodynamic fluctuations due to complex procedures. Promptly identifying causes related to target/donor vessels and non-coronary factors is crucial for patient management.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Vascular Biology
Background:
- Chronic total occlusion (CTO) interventions are complex procedures.
- These interventions are frequently associated with hemodynamic fluctuations.
- Identifying the causes of these fluctuations is critical for successful outcomes.
Abstract:
Given the complexity of the procedure, chronic total occlusion (CTO) intervention is often associated with hemodynamic fluctuations. In such cases, it is necessary to ascertain potential causes involving the target vessel, the donor vessel, and non-coronary factors promptly. In addition, the relative hypoperfusion of the target vessel caused by immediate antegrade and retrograde competitive blood flow upon guidewire crossing and establishment of the procedural trajectory is also a problem worthy of consideration.
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