Management strategies in patients affected by chronic total occlusions: results from the Italian Registry of Chronic Total Occlusions

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Management strategies in patients affected by chronic total occlusions: results from the Italian Registry of Chronic Total Occlusions.

BACKGROUND Through contemporary literature, the optimal strategy to manage coronary chronic total occlusions (CTOs) remains under debate. OBJECTIVES The aim of the Italian Registry of Chronic Total Occlusions (IRCTO) was to provide data on prevalence, characteristics, and outcome of CTO patients according to the management strategy. METHODS The IRCTO is a prospective real world multicentre ...

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Intracoronary imaging in chronic total occlusions

Chronic total occlusion (CTO) intervention constitutes approximately 10–20% of all angioplasty procedures at selected centers. Benefits of CTO revascularization, in addition to relief of angina, include improvement of left ventricular function, reduced risk of major adverse cardiac events and potentially increased survival. Although several techniques, devices and guidewires have been developed...

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Microvascular dysfunction in chronic total coronary occlusions.

BACKGROUND Microvascular dysfunction is defined as reduced coronary flow reserve in the absence of an epicardial stenosis. This study determined its prevalence and relation to regional myocardial function in chronic total coronary occlusions (TCO). METHODS AND RESULTS After recanalization and stenting of a TCO (duration, >4 weeks) in 42 patients, coronary flow velocity reserve (CFVR) was meas...

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Subintimal Angioplasty for the Management of Chronic Total Occlusions

C hronic total occlusions of the femoropopliteal segments or infrapopliteal vessels are encountered more frequently with increasing patient longevity, bringing critical limb ischemia (CLI) to greater clinical attention. Surgical revascularization has been well documented for achieving limb salvage; however, the morbidity and mortality rate in this patient cohort can be significant.1 Endovascula...

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Coronary chronic total occlusions (CTOs) still represent the greatest technical challenge that interventional cardiologists face. CTOs remain seriously undertreated with percutaneous techniques, far below their prevalence. One reason for the low uptake was the suboptimal CTO percutaneous coronary intervention (PCI) success rates over a long period of time. During the last years, dedicated group...

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2015

ISSN: 0195-668X,1522-9645

DOI: 10.1093/eurheartj/ehv450