Coronary Chronic Total Occlusion Revascularization: When, Who and How?

Author:

Ricottini Elisabetta1,Coletti Federica1,Nusca Annunziata12,Cocco Nino1,Corlianò Andrea1,Appetecchia Alessandro1ORCID,Melfi Rosetta1,Mangiacapra Fabio12ORCID,Gallo Paolo1,Rinaldi Raffaele1,Grigioni Francesco12,Ussia Gian Paolo12ORCID

Affiliation:

1. Cardiology Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy

2. Cardiology Unit, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy

Abstract

Coronary chronic total occlusions (CTO) are an increasingly frequent entity in clinical practice and represent a challenging percutaneous coronary intervention (PCI) scenario. Despite data from randomized trials that have not yet demonstrated a clear benefit of CTO recanalization, the widespread of CTO-PCI has substantially increased. The improvement in operators’ techniques, equipment, and training programs has led to an improvement in the success rate and safety of these procedures, which will represent an important field of future development of PCI. The present review will summarize clinical outcomes and technical and safety issues of CTO revascularization with the aim to guide clinical daily cath-lab practice.

Publisher

MDPI AG

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