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Minerva Cardioangiologica 2010 February;58(1):41-60

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

Coronary chronic total occlusion

Godino C., Carlino M., Al-Lamee R., Colombo A.

1 San Raffaele Scientific Institute, Milan, Italy; 2 EMO GVM Centro Cuore Columbus, Milan, Italy; 3 Imperial College NHS Healthcare Trust, London, UK


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Percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) remains a major challenge in interventional cardiology. Success-ful recanalization of a CTO can alleviate angina, reduce the need for coronary artery bypass surgery and increase long-term survival. Improving results from the historically quoted success rates of 50% to the levels now routinely quoted by some operators (80-90%), requires not just skill and experience, but also a thorough understanding of the wide array of materials and techniques now available in this area. The decision to attempt PCI of a CTO (versus continued medical therapy or surgical revascularization) requires an individualized risk/benefit analysis, encompassing clinical, imaging and technical considerations.

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