Current Cardiology Reports

, 15:334

Chronic Total Occlusions: Patient Selection and Overview of Advanced Techniques

Authors

  • Santiago Garcia
    • Minneapolis VA Healthcare System
  • Shuaib Abdullah
    • University of Texas Southwestern Medical Center
    • Dallas VA Medical Center (111A)
  • Subhash Banerjee
    • VA North Texas Healthcare System
    • University of Texas Southwestern Medical Center
    • VA North Texas Healthcare System
    • University of Texas Southwestern Medical Center
    • Dallas VA Medical Center (111A)
Interventional Cardiology (S Rao, Section Editor)

DOI: 10.1007/s11886-012-0334-2

Cite this article as:
Garcia, S., Abdullah, S., Banerjee, S. et al. Curr Cardiol Rep (2013) 15: 334. doi:10.1007/s11886-012-0334-2
Part of the following topical collections:
  1. Topical Collection on Interventional Cardiology

Abstract

Percutaneous treatment of coronary chronic total occlusions (CTOs) remains challenging, mainly due to difficulty in crossing the lesion. However tremendous progress has been achieved recently with expanded use of the retrograde approach and advanced dissection re-entry techniques. The development of the “hybrid” approach from North American operators has provided practical recommendations on how to select initial and subsequent CTO crossing strategies. Moreover, additional information has emerged on the frequency of CTOs among patients undergoing cardiac catheterization and on the adverse prognostic impact of CTOs on clinical outcomes of patients with ischemic cardiomyopathy who have implantable cardioverter defibrillators. Overall, CTO interventions remain a dynamic area with multiple novel technical and clinical developments.

Keywords

Chronic total occlusion Coronary revascularization Percutaneous coronary intervention

Supplementary material

11886_2012_334_MOESM1_ESM.mpg (3.9 mb)
ESM 1 (MPG 4035 kb)
11886_2012_334_MOESM2_ESM.mpg (2.4 mb)
ESM 2 (MPG 2455 kb)

Copyright information

© Springer Science+Business Media New York (outside the USA)  2013