TY - JOUR
T1 - Percutaneous coronary intervention of chronic total occlusions: When and how to treat
AU - Schumacher, Stefan P.
AU - Stuijfzand, Wijnand J.
AU - Opolski, Maksymilian P.
AU - van Rossum, Albert C.
AU - Nap, Alexander
AU - Knaapen, Paul
PY - 2019/6
Y1 - 2019/6
N2 - 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.
AB - 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.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85051002014&origin=inward
U2 - https://doi.org/10.1016/j.carrev.2018.07.025
DO - https://doi.org/10.1016/j.carrev.2018.07.025
M3 - Article
C2 - 30093292
SN - 1553-8389
VL - 20
SP - 513
EP - 522
JO - Cardiovasc. Revascularization Med.
JF - Cardiovasc. Revascularization Med.
IS - 6
ER -