Percutaneous Coronary Intervention for Chronic Total Occlusions

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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 ...

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Transradial approach for percutaneous coronary interventions on chronic total occlusions

The transfemoral approach is the standard approach for performing chronic total occlusion procedures. However, hemorrhagic and vascular entry site complications are known to be reduced by the adoption of the transradial approach. Thus, the transradial approach is gaining interest and, facilitated by the improvement of materials and techniques, will be applied in procedures previously considered...

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Anterograde techniques for percutaneous revascularization of chronic total coronary occlusions

Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) remains one of the major challenges in interventional cardiology. Successful recanalization of a CTO can reduce anginal symptoms, reduce the need for coronary artery bypass surgery and increase long-term survival [1–3]. Approximately 30–40% of patients with coronary artery disease are shown at angiography to have at le...

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Chronic 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...

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Predictors 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: Circulation: Cardiovascular Interventions

سال: 2020

ISSN: 1941-7640,1941-7632

DOI: 10.1161/circinterventions.120.008920