Percutaneous revascularization of chronic total coronary occlusions: are the benefits underappreciated?
نویسندگان
چکیده
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 stenotic lesions are present.
منابع مشابه
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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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...
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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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ورودعنوان ژورنال:
- JACC. Cardiovascular interventions
دوره 5 4 شماره
صفحات -
تاریخ انتشار 2012