Theory and practical based approach to chronic total occlusions
Key result
Contemporary percutaneous coronary intervention techniques for chronic total occlusions, including antegrade, retrograde, and dissection re-entry approaches, achieve success rates exceeding 90% in dedicated centers.
Population
Patients with coronary chronic total occlusions (CTOs)
Design
Review
Authors
Discussion
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Implication
May support referral to dedicated centers for CTO PCI; leaves open need for randomized trials to confirm benefits.
Structured PICO
P
Population
Patients with coronary chronic total occlusions (CTOs)
I
Intervention
Percutaneous coronary intervention (PCI) for CTO recanalization
This review summarizes the rationale, pathology, and contemporary techniques for percutaneous recanalization of chronic total occlusions, highlighting advancements that have increased success rates to over 90%.
Limitations
- Lack of published universal definitions for contemporary techniques
- Lack of data in the literature related to the long-term outcomes of CTO PCI with contemporary techniques
- Lack of randomized efficacy data for routine pre-procedural MSCT imaging
Cite This Study
Sianos et al. (2016) conducted a review in Coronary chronic total occlusions (CTOs). Percutaneous Coronary Intervention (PCI) was evaluated. Contemporary percutaneous coronary intervention techniques for chronic total occlusions, including antegrade, retrograde, and dissection re-entry approaches, achieve success rates exceeding 90% in dedicated centers.