Journal of Clinical Medicine (May 2023)

Percutaneous Coronary Intervention for Chronic Total Occlusion—Contemporary Approach and Future Directions

  • Emil Julian Dąbrowski,
  • Michał Święczkowski,
  • Joanna Maria Dudzik,
  • Oliwia Grunwald,
  • Tomasz Januszko,
  • Paweł Muszyński,
  • Piotr Pogorzelski,
  • Justyna Tokarewicz,
  • Maciej Południewski,
  • Marcin Kożuch,
  • Sławomir Dobrzycki

DOI
https://doi.org/10.3390/jcm12113762
Journal volume & issue
Vol. 12, no. 11
p. 3762

Abstract

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In the aging society, the issue of coronary chronic total occlusion (CTO) has become a challenge for invasive cardiologists. Despite the lack of clear indications in European and American guidelines, the rates of percutaneous coronary interventions (PCI) for CTO increased over the last years. Well-conducted randomized clinical trials (RCT) and large observational studies brought significant and substantial progress in many CTO blind spots. However, the results regarding the rationale behind revascularization and the long-term benefit of CTO are inconclusive. Knowing the uncertainties regarding PCI CTO, our work sought to sum up and provide a comprehensive review of the latest evidence on percutaneous recanalization of coronary artery chronic total occlusion.

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