Coronary Chronic Total Occlusion Revascularization: When, Who and How?
Elisabetta RicottiniFederica ColettiAnnunziata NuscaNino CoccoAndrea CorlianòAlessandro AppetecchiaRosetta MelfiFabio MangiacapraPaolo GalloRaffaele RinaldiFrancesco GrigioniGian Paolo UssiaPublished in: Journal of clinical medicine (2024)
Coronary chronic total occlusions (CTO) are an increasingly frequent entity in clinical practice and represent a challenging percutaneous coronary intervention (PCI) scenario. Despite data from randomized trials that have not yet demonstrated a clear benefit of CTO recanalization, the widespread of CTO-PCI has substantially increased. The improvement in operators' techniques, equipment, and training programs has led to an improvement in the success rate and safety of these procedures, which will represent an important field of future development of PCI. The present review will summarize clinical outcomes and technical and safety issues of CTO revascularization with the aim to guide clinical daily cath-lab practice.
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- st segment elevation myocardial infarction
- coronary artery bypass grafting
- st elevation myocardial infarction
- acute myocardial infarction
- antiplatelet therapy
- acute coronary syndrome
- clinical practice
- coronary artery
- coronary artery bypass
- primary care
- atrial fibrillation
- physical activity
- aortic valve
- big data
- machine learning
- artificial intelligence
- endovascular treatment
- heart failure
- quality improvement
- public health
- left ventricular