TCT CONNECT-229 Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Intervention: Comparison of 3 Scores

Chronic total coronary occlusion percutaneous intervention.

Chronic total coronary occlusions (CTO) are encountered frequently, found in up to 50% of patients with coronary artery disease (CAD) referred for elective angiography. Treatment strategy for an individual patient is often changed on the basis of the presence or absence of a CTO (1). Percutaneous coronary intervention (PCI) of CTO remains challenging, with observed success rates that are signif...

Complications of chronic total occlusion percutaneous coronary intervention: Subepicardial hematoma.

A 67-year-old man with coronary artery disease and previous coronary underwent successful Guideliner reverse CART percutaneous coronary intervention of a chronic total occlusion of the right coronary artery. He later developed evidence of myocardial ischemia, and imaging, including angiogram, echocardiogram, and cardiac computed tomography revealing active dye extravasation from the previously ...

Coronary Computed Tomography Angiography Predicts Guidewire Crossing and Success of Percutaneous Intervention for Chronic Total Occlusion

Chronic Total Occlusion Percutaneous Coronary Intervention: Evidence and Controversies

C oronary chronic total occlusions (CTOs) are defined as 100% occlusions with TIMI (Thrombolysis in Myocardial Infarction) 0 flow with at least a 3-month duration. Treatment options for patients with coronary CTOs include lifestyle changes and medications (as is appropriate for all patients with coronary artery disease) and coronary revascularization with either percutaneous coronary interventi...

Intravascular Ultrasound Guided Percutaneous Coronary Intervention for Chronic Total Occlusion

Chronic total occlusion (CTO), a fascinating and dynamic niche in the realm of coronary artery disease, represents a major technical challenge for interventional cardiologists despite evolution of better guidewires, devices, experience and techniques. Effective wiring technique is the corner stone to success of percutaneous coronary intervention (PCI) in CTO. As a guide for guidewire crossing i...