AI Article Synopsis
- CTO percutaneous coronary interventions (PCI) are complex procedures primarily aimed at alleviating patient symptoms, with varying success rates based on the experience of the medical center.
- Various scoring systems can help predict the difficulty and potential success of these procedures, while using techniques like dual arterial access and crossing algorithms can enhance outcomes.
- Despite a higher risk of complications, strategic planning and timely intervention can reduce risks and improve the overall safety and effectiveness of CTO PCI.
Article Abstract
Chronic total occlusion (CTO) percutaneous coronary interventions (PCI) can be challenging to perform. The main indication for CTO PCI is to improve symptoms. Several contemporary studies have reported high CTO PCI success rates at experienced centers but success rates in all-comer registries remain low. Several scores can estimate the difficulty and the likelihood of success of CTO PCI. Dual arterial access and use of CTO crossing algorithms can improve the success and safety of CTO PCI. Intracoronary imaging can optimize stent expansion and minimize adverse cardiovascular events. While complications are more common in CTO PCI, careful planning and prompt diagnosis and treatment can prevent them or minimize their adverse consequences. In this article, we review contemporary data on the indications, safety and efficacy of CTO PCI.
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| http://dx.doi.org/10.1016/j.pcad.2021.11.004 | DOI Listing |
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