Medical therapy, percutaneous coronary intervention and prognosis in patients with chronic total occlusions
نویسندگان
چکیده
منابع مشابه
Percutaneous Coronary Intervention for Chronic Total Occlusions
I mpasses are common in everyday life. When they occur in coronary arteries as chronic total occlusions (CTOs), they may be difficult to treat. Successful treatment of CTOs sometimes requires a nonconformist approach based on “negative thinking,” which is described in philosophical circles as the mindset that “negates” the possibility of failure and replaces it with the potentiality of success ...
متن کاملPercutaneous Coronary Intervention Versus Optimal Medical Therapy for Chronic Total Coronary Occlusion With Well‐Developed Collaterals
BACKGROUND The impact of percutaneous coronary intervention (PCI) on chronic total occlusion in patients with well-developed collaterals is not clear. METHODS AND RESULTS A total of 640 chronic total occlusion patients with collateral flow grade ≥2 were divided into 2 groups; chronic total occlusion patients either treated with PCI (the PCI group; n=305) or optimal medical therapy (the optima...
متن کاملOutcomes of percutaneous coronary intervention in patients with coronary chronic total occlusions with versus without type 2 diabetes mellitus
BACKGROUND Nowadays, due to advanced techniques and well-trained interventionists in catheter labs, new scientific research has shown percutaneous coronary intervention (PCI) to be a safe treatment procedure in patients with chronic total occlusion (CTO). However, no study has systematically compared PCI outcomes in CTO patients with versus without type 2 diabetes mellitus (T2DM). Therefore, th...
متن کاملChronic Total Coronary Occlusions, Percutaneous Coronary Intervention, and Mortality: A "Hybrid Approach" to Interpretation.
C hronic total coronary occlusions (CTOs) represent one of the final frontiers in the evolution of revascularization with percutaneous coronary intervention (PCI). Although CTO revascularization relieves symptoms, reduces ischemic burden, improves left ventricular systolic function, and attenuates remodeling, convincing proof of improved survival remains elusive (1–3). Ongoing randomized trials...
متن کاملPredictors of successful percutaneous coronary intervention in chronic total coronary occlusions
INTRODUCTION Percutaneous coronary intervention (PCI) of chronic total coronary occlusions (CTOs) is one of the most challenging procedures of interventional cardiology and is associated with increased risk of significant complications. However, debate continues in regard to which factors adversely influence the success rate of PCI and whether the benefits of revascularization of CTO outweigh t...
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ژورنال
عنوان ژورنال: Heart
سال: 2015
ISSN: 1355-6037,1468-201X
DOI: 10.1136/heartjnl-2015-308181