Update in the Percutaneous Management of Coronary Chronic Total Occlusions

Document Type

Article

Publication Date

4-9-2018

Publication Title

JACC Cardiovasc Interv

Abstract

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.

Medical Subject Headings

Chronic Disease; Coronary Occlusion; Humans; Percutaneous Coronary Intervention; Prospective Studies; Treatment Outcome

PubMed ID

29550088

Volume

11

Issue

7

First Page

615

Last Page

625

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