Key result
Percutaneous coronary intervention for chronic total occlusions is associated with improved ventricular function and reduced cardiac mortality based on observational studies.
Why the study?
Does percutaneous coronary intervention improve cardiovascular outcomes, ventricular function, and cardiac mortality in patients with coronary chronic total occlusions?
Does percutaneous coronary intervention improve cardiovascular outcomes, ventricular function, and cardiac mortality in patients with coronary chronic total occlusions?
Based on observational data, successful percutaneous coronary intervention for chronic total occlusions may improve ventricular function and reduce cardiac mortality.
Supports CTO PCI consideration for ventricular function gains; leaves open RCT confirmation of survival benefit.
Coronary chronic total occlusions (CTOs) represent a frequent lesions' subset observed in everyday catheterization laboratory practice. Previously considered to be an indication for surgical myocardial revascularization, the interest of interventional community in CTOs has exponentially grown during the last decade, particularly thanks to an important development in dedicated equipment and techniques, and has led to the achievement of high rates of success and low rates of complications by expert operators. In absence of available data from randomized trials, several observational studies have shown the benefits of CTO percutaneous coronary intervention (PCI) in insuring better cardiovascular outcome, particularly by improving ventricular function and reducing cardiac mortality.
No takes yet. Share an insight, caveat, or question.
Boukhris et al. (2015) conducted a review in Coronary chronic total occlusions (CTOs). Percutaneous coronary intervention (PCI) was evaluated on Ventricular function and cardiac mortality. Percutaneous coronary intervention for chronic total occlusions is associated with improved ventricular function and reduced cardiac mortality based on observational studies.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: