2019年7月29日 · Outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have improved because of advancements in equipment and techniques. With global collaboration and knowledge sharing, we have identified 7 common principles that are widely accepted as best practices for CTO-PCI. 1.

CTO PCI is a minimally invasive technique used to treat patients with chronic total occlusion (CTO), or complete blockages, of the coronary arteries. What Is CTO PCI? CTOs are blockages that have typically been present for more than three months.

2022年8月3日 · A chronic total occlusion (CTO) is a total blockage in one of your coronary arteries lasting three or more months. Your coronary arteries are the blood vessels that carry blood to your heart. CTOs restrict blood flow to your heart, which can lead to chest pain, shortness of breath or a heart attack.

2024年9月15日 · Percutaneous coronary intervention (PCI) of CTOs has been shown to improve anginal symptoms in observational studies and in a limited number of randomized trials. However, CTO PCI has not been shown to lead to a reduction in other important end points such as myocardial infarction or death.

2020年7月23日 · Dr. Jay Khatri, Director of the Complex Coronary Interventions presents the definition and presentation of CTO, barriers to initiating PCI in CTO, indications for therapy and advanced skills to implement CTO PCI safely and successfully. Khatri reviews the algorithm used at Cleveland Clinic to determine CTO management.

2018年1月12日 · CTO PCI was associated with lower success (59% versus 96%; P<0.001) and higher complication (1.6% versus 0.8%; P<0.001) rates, compared with treatment of nonocclusive lesions.

With global collaboration and knowledge sharing, we have identified 7 common principles that are widely accepted as best practices for CTO-PCI. Ischemic symptom improvement is the primary indication for CTO-PCI.

Coronary chronic total occlusions (CTO) are increasingly encountered during invasive and non-invasive coronary angiography and remain the most challenging lesions for percutaneous coronary intervention (PCI).

2015年6月9日 · In a recent analysis from the American College of Cardiology (ACC) National Cardiovascular Data Registry (NCDR) CathPCI Registry, CTO PCI represented only 3.8% of the total PCI volume for stable coronary artery disease and was associated with lower procedural success (59% vs. 96%, p <0.001) and higher major adverse cardiac event rates (1.6% vs ...

2020年9月29日 · Coronary chronic total occlusion (CTO), defined as complete occlusion of a coronary artery for at least 3 months with thrombolysis in myocardial infarction (TIMI) grade 0 flow, represents one of the most complex situations in the field of interventional cardiology. 1 Despite an incidence of CTO in patients with stable coronary artery disease (CA...