Related Experiment Video

Updated: Jun 12, 2026

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
14:35

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Published on: April 17, 2021

Percutaneous recanalization of coronary chronic total occlusions: current devices and specialized wire crossing

Hee-Yeol Kim1

  • 1Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Bucheon, Korea.

Korean Circulation Journal
|June 2, 2010
PubMed

Insights

Treating coronary chronic total occlusions (CTOs) is complex but improving. New devices and techniques enhance success rates for percutaneous interventions, leading to better patient outcomes and reduced need for surgery.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Coronary chronic total occlusions (CTOs) present significant challenges for complete revascularization.
  • Percutaneous CTO interventions historically have lower success rates and higher complication risks than non-CTO procedures.

Purpose of the Study:

  • To review current devices and specialized crossing techniques for percutaneous intervention of CTOs.
  • To highlight advancements improving procedural success and patient outcomes.

Main Methods:

  • Review of recent developments in guidewires and devices for CTO intervention.
  • Analysis of emerging techniques, particularly those from Japanese centers.
  • Discussion of the role of drug-eluting stents in managing restenosis.

Main Results:

  • Recent advancements have led to higher success rates for CTO interventions by experienced operators.
  • Drug-eluting stents have improved long-term outcomes by reducing restenosis.
  • Successful revascularization correlates with improved survival, symptom reduction, and better cardiac function.

Conclusions:

  • Percutaneous CTO intervention is becoming more effective with technological and technical advancements.
  • Successful CTO treatment offers significant long-term benefits, including improved survival and quality of life.
  • Continued innovation in devices and techniques is crucial for optimizing CTO management.

Keywords:
AngioplastyCoronary occlusion

More Related Videos

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...