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Chronic Total Occlusion Angioplasty: Indications, Appropriateness, and Strategy

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Textbook of Cardiovascular Intervention

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Abstract

Chronic total occlusions (CTOs) are commonly encountered complex coronary lesions that can be associated with symptoms, ischemia, LV dysfunction, and excess mortality. The decision to offer percutaneous coronary intervention (PCI) as part of the therapeutic regimen for patients with chronic total occlusions is complex and should include a detailed discussion with patients about the indications, goals, risks, and alternatives to PCI that also includes a comprehensive review of all of the available data. In this chapter, we will review the evidence for the benefits of CTO PCI, a deep understanding of which is fundamentally important to the selection of patients for whom this therapy is to be offered.

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Author information

Authors and Affiliations

  1. Department of Medicine, University of Missouri School of Medicine, Columbia, MO, USA

    J. Aaron Grantham MD, FACC

  2. St. Luke’s Mid America Heart Institute, Kansas City, MO, USA

    J. Aaron Grantham MD, FACC

  3. Cardiovascular Catheterization and Intervention, Yale New Haven Hospital, New Haven, CT, USA

    Craig A. Thompson MD, MMSc (Director)

  4. Cardiology Section, Department of Medicine, Invasive Cardiology and Vascular Medicine, Yale University School of Medicine, 789 Howard Avenue, Dana 305, New Haven, CT, 06520, USA

    Craig A. Thompson MD, MMSc (Director)

Authors
  1. J. Aaron Grantham MD, FACC
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  2. Craig A. Thompson MD, MMSc
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Corresponding author

Correspondence to Craig A. Thompson MD, MMSc .

Editor information

Editors and Affiliations

  1. Department of Medicine, Cardiology Section, Director, Cardiovascular Catheterization and Intervention, Yale New Haven Hospital, Director, Invasive Cardiology and Vascular Medicine,, New Haven, Connecticut, USA

    Craig A. Thompson

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© 2014 Springer-Verlag London

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Grantham, J.A., Thompson, C.A. (2014). Chronic Total Occlusion Angioplasty: Indications, Appropriateness, and Strategy. In: Thompson, C. (eds) Textbook of Cardiovascular Intervention. Springer, London. https://doi.org/10.1007/978-1-4471-4528-8_23

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  • DOI: https://doi.org/10.1007/978-1-4471-4528-8_23

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4527-1

  • Online ISBN: 978-1-4471-4528-8

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