Percutaneous Coronary Intervention of Chronic Total Occlusions: When and How to Treat.
Chronic total occlusion
Coronary artery disease
Percutaneous coronary intervention
Journal
Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
Titre abrégé: Cardiovasc Revasc Med
Pays: United States
ID NLM: 101238551
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
22
04
2018
revised:
24
07
2018
accepted:
24
07
2018
pubmed:
11
8
2018
medline:
9
6
2020
entrez:
11
8
2018
Statut:
ppublish
Résumé
Chronic coronary total occlusions (CTO) are diagnosed in up to 20% of patients with coronary artery disease and have a detrimental effect on patients' quality of life and long-term prognosis. The exponential developments in CTO percutaneous coronary intervention (PCI) equipment, recanalization techniques, and operator expertise have been merged into the hybrid approach that represents a percutaneous revascularization algorithm for treating CTOs and has led to technical success over 90% at experienced centers. Therefore, patient selection for CTO PCI should be focused on anticipated patient benefit in terms of health status and long-term prognosis rather than coronary anatomic complexity. TABLE OF CONTENTS: This review will provide an overview of the clinical presentation and characteristics of patients with a CTO and will discuss the essential needs toward judicious patient selection for percutaneous CTO revascularization according to contemporary knowledge. Furthermore, the current high standard revascularization techniques in dedicated CTO PCI will be discussed.
Identifiants
pubmed: 30093292
pii: S1553-8389(18)30324-5
doi: 10.1016/j.carrev.2018.07.025
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
513-522Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.