Current Cardiology Reports

, 15:334 | Cite as

Chronic Total Occlusions: Patient Selection and Overview of Advanced Techniques

  • Santiago Garcia
  • Shuaib Abdullah
  • Subhash Banerjee
  • Emmanouil S. Brilakis
Interventional Cardiology (S Rao, Section Editor)
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

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Copyright information

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

Authors and Affiliations

  • Santiago Garcia
    • 1
  • Shuaib Abdullah
    • 3
    • 4
  • Subhash Banerjee
    • 2
    • 3
  • Emmanouil S. Brilakis
    • 2
    • 3
    • 4
  1. 1.Minneapolis VA Healthcare SystemMinneapolisUSA
  2. 2.VA North Texas Healthcare SystemDallasUSA
  3. 3.University of Texas Southwestern Medical CenterDallasUSA
  4. 4.Dallas VA Medical Center (111A)DallasUSA

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