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

被引:1
|
作者
Ricottini, Elisabetta [1 ]
Coletti, Federica [1 ]
Nusca, Annunziata [1 ,2 ]
Cocco, Nino [1 ]
Corliano, Andrea [1 ]
Appetecchia, Alessandro [1 ]
Melfi, Rosetta [1 ]
Mangiacapra, Fabio [1 ,2 ]
Gallo, Paolo [1 ]
Rinaldi, Raffaele [1 ]
Grigioni, Francesco [1 ,2 ]
Ussia, Gian Paolo [1 ,2 ]
机构
[1] Fdn Policlin Univ Campus Biomed, Cardiol Unit, I-00128 Rome, Italy
[2] Campus Biomed Univ Rome, Dept Med, Cardiol Unit, I-00128 Rome, Italy
关键词
coronary chronic total occlusions; percutaneous coronary interventions; complex coronary artery disease; SCORING SYSTEM; PERCUTANEOUS INTERVENTION; MANAGEMENT STRATEGIES; MYOCARDIAL-PERFUSION; ARTERY-DISEASE; PROXIMAL CAP; OUTCOMES; RECANALIZATION; PREDICTORS; REGISTRY;
D O I
10.3390/jcm13071943
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
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页数:15
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