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Percutaneous Coronary Intervention in Chronic Total Occlusion
Luiz Fernando Ybarra1, Marcelo J C Cantarelli2,3, Viviana M G Lemke2,4,5
1McGill University Health Centre, Montreal - Canadá.
Arquivos Brasileiros De Cardiologia
|June 14, 2018
Summary
Percutaneous coronary intervention for chronic total occlusion is advancing, offering a predictable treatment option. New techniques and training improve success rates, making it a viable choice alongside medication and surgery.
Area of Science:
- Interventional Cardiology
- Cardiovascular Medicine
Background:
- Chronic total occlusion (CTO) represents a complex challenge in interventional cardiology.
- Historically, CTO percutaneous coronary intervention (PCI) had limited success, but recent advancements are changing this landscape.
Purpose of the Study:
- To provide a comprehensive overview of the current status of percutaneous coronary intervention for chronic total occlusion.
- To summarize recent advancements in techniques, equipment, and training for CTO PCI.
Main Methods:
- This review synthesizes findings from recent, relevant publications and large multicentered registries.
- It focuses on the evolution of techniques and equipment in CTO intervention.
Main Results:
- The development of new techniques and specialized training has significantly improved success rates in CTO PCI.
- CTO PCI is increasingly predictable and offers a valuable treatment option for patients.
Conclusions:
- Percutaneous coronary intervention for chronic total occlusion is a rapidly evolving field.
- CTO PCI is now a predictable procedure and a viable alternative to optimized drug treatment and coronary artery bypass grafting surgery.
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