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Management of coronary chronic total occlusion

Jaikirshan Khatri1, Mouin Abdallah2, Stephen Ellis2

  • 1Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA. khatrij@ccf.org.

Cleveland Clinic Journal of Medicine
|December 20, 2017
PubMed

Insights

Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) is a key treatment. It helps achieve complete revascularization alongside other therapies for coronary artery disease.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Coronary artery disease (CAD) management requires complete revascularization.
  • Chronic total occlusions (CTOs) present unique challenges in revascularization strategies.

Purpose of the Study:

  • To highlight the role of percutaneous coronary intervention (PCI) in treating coronary artery chronic total occlusion (CTO).
  • To emphasize PCI's integration within a comprehensive revascularization approach for CAD patients.

Main Methods:

  • Review of current interventional cardiology practices.
  • Analysis of treatment outcomes for CTO interventions.

Main Results:

  • PCI is a viable and important option for CTO revascularization.
  • Successful CTO PCI contributes significantly to complete revascularization.

Conclusions:

  • PCI for CTO is a crucial component of comprehensive CAD management.
  • Optimal medical therapy, coronary artery bypass grafting, and PCI for CTO collectively aim for complete revascularization.

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