Editorial Chronic Coronary Total Occlusion
نویسنده
چکیده
Chronic total occlusion (CTO) is quite frequent finding in coronary artery disease. Comprised of a combination of fibrocalcific and thrombotic elements, CTO has been reported in approximately onethird of patients undergoing diagnostic coronary angiography. This thematic issue goes in depth into “coronary CTO ” that still represents the last frontier in percutaneous coronary intervention (PCI). Historically, CTO remains the most challenging lesion subset for PCI. Despite a growing body of evidence pertaining to favourable effects of revascularization, interventional cardiologists are quite reluctant to attempt CTO PCI which might be attributed to historically low success rate, increased cost, prolonged procedure time and the lack of well defined approach.
منابع مشابه
Procedure Planning: Anatomical Determinants of Strategy
In contemporary practice there are three main methods that can be employed when attempting to open a chronic total occlusion (CTO) of a coronary artery; antegrade or retrograde wire escalation, antegrade dissection re-entry and retrograde dissection re-entry. This editorial will attempt to clarify the anatomical features that can be identified to help when deciding which of these strategies to ...
متن کاملمقایسه نتایج زودرس آنژیوپلاستی عروق کرونر در Chronic Total Occlusion با و بدون وجود Bridging Collateral Vessels
Background and purpose: Âim of this research is to study the effect of bridging collateral vessels (BÇVS) on the success of coronary angioplasty in patients with chronic total occlusion (ÇTÔ). Ïn coronary angioplasty of ÇTÔ cases, categorizing of lessions characteristics can be helpful in evaluation of success in angioplasty. There are controversies about the role of BÇVS in the rate of angio...
متن کاملRotational atherectomy via transradial access in the percutaneous treatment of chronic coronary total occlusion with rare complication of coronary guidewire transection
Introduction C total coronary occlusion remains one of the limitations of percutaneous transluminal coronary angioplasty, and few therapeutic devices are specifically designed to address this problem. Despite advances in device technology, the management of resistant, calcific lesions remains one of the greatest challenges in successful chronic total coronary occlusion intervention. Established...
متن کاملChronic total occlusion of left main coronary artery.
Chronic total occlusion of left main coronary artery is a very rare angiographic finding as majority of these patients do not survive long enough to undergo coronary angiography. We describe a patient with angiographic findings of chronic total occlusion of left main coronary artery with left coronary circulation collateralized from right coronary artery.
متن کاملManagement of coronary chronic total occlusion.
Percutaneous coronary intervention (PCI) for coronary artery chronic total occlusion (CTO) is an important treatment to be used in conjunction with non-CTO PCI, coronary artery bypass grafting, and optimal medical therapy to achieve complete revascularization in patients with coronary artery disease.
متن کامل