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RESEARCH PRODUCT

Update in the Percutaneous Management of Coronary Chronic Total Occlusions

Dmitrii KhelimskiiPeter TajtiKhaldoon AlaswadKambis MashayekhiEmmanouil S. BrilakisMauro CarlinoGerald S. WernerAlfredo R. GalassiWilliam J. NicholsonSubhash BanerjeeOleg KrestyaninovImre UngiM. Nicholas BurkeMohaned EgredDimitri KarmpaliotisMitul PatelLorenzo Azzalini

subject

medicine.medical_specialtyPercutaneousbusiness.industryPotential riskmedicine.medical_treatmentTreatment outcomePercutaneous coronary intervention030204 cardiovascular system & hematologyCABG = coronary artery bypass grafting CTA = computed tomography angiography CTO = chronic total occlusion IVUS = intravascular ultrasound MACE = major adverse cardiac event(s) MT = medical therapy OMT = optimal medical therapy PCI = percutaneous coronary intervention03 medical and health sciencessurgical procedures operative0302 clinical medicineChronic diseaseCoronary occlusionConventional PCImedicinecardiovascular diseases030212 general & internal medicineCardiology and Cardiovascular MedicinebusinessProspective cohort studyIntensive care medicine

description

Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been rapidly evolving during recent years. With improvement in equipment and techniques, high success rates can be achieved at experienced centers, although overall success rates remain low. Prospective, randomized-controlled data regarding optimal use and indications for CTO PCI remain limited. CTO PCI should be performed when the anticipated benefit exceeds the potential risk. New high-quality studies of the clinical outcomes and techniques of CTO PCI are needed, as is the expansion of expert centers and operators that can achieve excellent clinical outcomes in this challenging patient and lesion subgroup. In the current review the authors summarize the latest publications in CTO PCI and provide an overview of the current state of the field. (

yearjournalcountryeditionlanguage
2018-04-01
10.1016/j.jcin.2017.10.052http://hdl.handle.net/10447/440385