| Title |
Mitchell, Shaul, & Wilkinson MSRS_2024 |
| Alternative Title |
Complications in Coronary Chronic Total Occlusion Interventions for Cath Lab: A Systematic Review |
| Creator |
Mitchell, MaCalin; Shaul, Devan; Wilkinson, Daniel |
| Collection Name |
Master of Radiologic Sciences |
| Description |
This thesis systematically reviews the types, causes, and management strategies for CTO PCI complications, categorizing them into coronary, non-coronary cardiac, and non-cardiac complications. With the complexity and potential risks associated with CTO PCI remaining higher than non-CTO PCI, understanding what the most common complications can occur and establishing guidelines for cath lab teams are important for these procedure. |
| Abstract |
Coronary chronic total occlusion (CTO) percutaneous coronary intervention (PCI) represents a highly specialized area within interventional cardiology, requiring advanced skills to address the procedural complexity and elevated risk of complications in the catheterization laboratory (cath lab). This thesis systematically reviews the types, causes, and management strategies for CTO PCI complications, categorizing them into coronary, non-coronary cardiac, and non-cardiac complications. With the complexity and potential risks associated with CTO PCI remaining higher than non-CTO PCI, understanding what the most common complications can occur and establishing guidelines for cath lab teams are important for these procedure. These complications contribute significantly to procedural morbidity, highlighting the necessity for targeted management protocols and cath lab team knowledge.; Using a case study design and analysis, this study assesses 34 cases to highlight trends in complication types, patient demographics, and management outcomes. This thesis systematically reviews common complications in CTO PCI. The most common complication that was observed in over 50% of the 34 case studies analyzed was coronary perforations. Coronary perforations, frequently resulting from retrograde techniques and guidewire manipulation, were most common in collateral arteries. They often involved septal and epicardial collaterals and led to cardiac hematomas and tamponade. Other complications identified included coronary dissections, side-branch occlusions, equipment entrapment, and non-coronary issues such as aortic dissections and hypotension, often exacerbated in older patients with complex lesion profiles.; Through a case study approach, this research found that cath lab teams' need for preparedness in managing coronary perforations along with other complications is necessary when being part of these procedures. Recommendations based on these findings include implementing CTO PCI- specific emergency protocols, ensuring availability of essential equipment like covered stents and balloon occlusion devices, and educating cath lab staff on management options specific to CTOs. This research emphasizes the need for standardized CTO protocols and enhanced training, which could significantly reduce complication rates and improve procedural success, ultimately advancing patient safety and outcomes in CTO PCI. |
| Subject |
Patient monitoring; Medical personnel; Medical policy |
| Digital Publisher |
Stewart Library, Weber State University, Ogden, Utah, United States of America |
| Date |
2024 |
| Medium |
Thesis |
| Type |
Text |
| Access Extent |
1.7 MB; 68 page pdf |
| Language |
eng |
| Rights |
The author has granted Weber State University Archives a limited, non-exclusive, royalty-free license to reproduce his or her theses, in whole or in part, in electronic or paper form and to make it available to the general public at no charge. The author retains all other rights. |
| Source |
University Archives Electronic Records: Master of Radiologic Sciences. Stewart Library, Weber State University |
| Format |
application/pdf |
| ARK |
ark:/87278/s642tc2z |
| Setname |
wsu_smt |
| ID |
143577 |
| Reference URL |
https://digital.weber.edu/ark:/87278/s642tc2z |
