title: What do Polish interventional cardiologists know about indications and qualification for recanalisation of chronic total coronary artery occlusions?
abstract: BACKGROUND
  Chronic total occlusions (CTO) are diagnosed in about 20% of patients with significant coronary artery disease. A disproportion between the high prevalence of CTOs and low rate of invasive treatment still exists. Technical difficulties, clinical uncertainties whether patients benefit from recanalisation, and a lack of knowledge of CTO may be responsible for this fact.
  
  
  OBJECTIVE
  To assess the knowledge of coronary arteries CTO among Polish interventional cardiologists.
  
  
  METHODS
  A self-designed questionnaire was used during two major Polish invasive cardiology workshops held in 2014.
  
  
  RESULTS
  The study included 113 physicians, mostly cardiologists certified as independent operators. Average self-declared efficacy of CTO recanalisation was 63.5%. Most of the respondents agreed that the operator involved in the CTO recanalisation program should perform at least 30-50 procedures per year. Only 67% stated that before CTO revascularisation the evaluation of myocardial viability should be performed with dobutamine stress echocardiography as a preferred test. One third of the physicians agreed that CTO percutaneous coronary intervention (PCI) should not be performed directly after diagnostic angiography, and 51.5% believed that in patients with multi-vessel coronary artery disease PCI of CTO should be performed first. Multi-slice spiral computed tomography during the qualification and planning of the CTO revascularisation, in the opinion of 91% of the responders, should not be used before each procedure but could be useful in selected cases.
  
  
  CONCLUSIONS
  Polish interventional cardiologists remains in compliance with current opinions about recanalisation of chronic coronary artery occlusions and the consensus of the EuroCTO Club, but there is still an unceasing need for further education and promotion of knowledge about CTOs.
authors.forename: Krzysztof L
authors.initials: KL
authors.lastname: Bryniarski
authors.forename: Michał
authors.initials: M
authors.lastname: Zabojszcz
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Dębski
authors.forename: Jakub
authors.initials: J
authors.lastname: Marchewka
authors.forename: Jacek
authors.initials: J
authors.lastname: Legutko
authors.forename: Piotr
authors.initials: P
authors.lastname: Jankowski
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Siudak
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Żmudka
authors.forename: Dariusz
authors.initials: D
authors.lastname: Dudek
authors.affiliation: I Klinika Kardiologii i Elektrokardiologii Interwencyjnej oraz Nadciśnienia Tętniczego, Instytut Kardiologii, Uniwersytet Jagielloński, Collegium Medicum, Kraków. l_bryniarski@poczta.fm.
authors.forename: Leszek
authors.initials: L
authors.lastname: Bryniarski
mesh_terms: D000072096:Cardiologists; D002908:Chronic Disease / Q000628:therapy; D054059:Coronary Occlusion / Q000601:surgery*; D006801:Humans; D019359:Knowledge; D062645:Percutaneous Coronary Intervention; D011044:Poland; D011795:Surveys and Questionnaires
keywords: chronic total occlusions; percutaneous interventions; physicians’ knowledge