Revascularization of 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 laser revascularization in patients with chronic total occlusions.
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...
متن کاملPercutaneous revascularization of chronic total coronary occlusions: are the benefits underappreciated?
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...
متن کاملCurrent considerations regarding the percutaneous revascularization of chronic total coronary occlusions review
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...
متن کاملIntracoronary 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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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2014
ISSN: 0735-1097
DOI: 10.1016/j.jacc.2014.06.1181