Key result
Review outlines CTO PCI evaluation and management for non-interventional cardiologists.
Why the study?
Coronary chronic total occlusions are present in up to one-third of patients with coronary artery disease, requiring non-interventional cardiologists to understand optimal evaluation, procedural considerations, and management.
This review provides a comprehensive guide for non-interventional cardiologists regarding the evaluation, management, and unique considerations of percutaneous coronary intervention for chronic total occlusions.
May improve CTO PCI referrals by non-interventional cardiologists; leaves open need for prospective outcome validation.
Coronary chronic total occlusions (CTO) are present in up to one-third of patients with coronary artery disease (CAD). It is thus essential for all clinical cardiologists to possess a basic awareness and understanding of CTOs, including optimal evaluation and management. While percutaneous coronary intervention (PCI) for CTO lesions has many similarities to non-CTO PCI, there are important considerations pertaining to pre-procedural evaluation, interventional techniques, procedural complications, and post-procedure management and follow-up unique to patients undergoing this highly specialized intervention. Distinct from other existing topical reviews, the current manuscript focuses on key knowledge relevant to non-interventional cardiologists.
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Cilia et al. (2024) conducted a review in Coronary chronic total occlusions (CTO). Percutaneous coronary intervention (PCI) was evaluated. This review provides a comprehensive guide for non-interventional cardiologists on the evaluation, management, and unique considerations of percutaneous coronary intervention for chronic total occlusions.
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