Percutaneous Revascularization of Coronary Chronic Total Occlusions
نویسندگان
چکیده
منابع مشابه
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...
متن کاملPercutaneous 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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As clinical investigators of the percutaneous myocardial revascularization (PMR) device, we read with interest “A Prospective, Multicenter, Randomized Trial of Percutaneous Transmyocardial Laser Revascularization in Patients With Nonrecanalizable Chronic Total Occlusions” (PMR-CTO trial) by Stone and colleagues (1). Based upon the lack of available follow-up data and objective evidence, we do n...
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Chronic total coronary artery occlusions are commonly encountered, occurring in 15–33% of patients in the angiography suite. Reasons to consider percutaneous coronary revascularization of these lesions include the relief of angina, enhancement of left ventricular ejection fraction and the potential for improved survival. Owing to the complex nature of these lesions, attempts at percutaneous rev...
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Chronically totally occluded coronary arteries (CTOs) are common and represent the most technically challenging subset of lesions in contemporary interventional cardiology (1). The presence of a CTO on coronary angiography has a powerful impact on treatment decisions, leading to more frequent referral to coronary artery bypass grafting (CABG) and medical therapy when compared with when only ste...
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ژورنال
عنوان ژورنال: JACC: Cardiovascular Interventions
سال: 2010
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2009.12.002