Indications and Patient Selection for Percutaneous Coronary Intervention of Chronic Total Occlusions
- PMID: 33223098
- DOI: 10.1016/j.iccl.2020.09.002
Indications and Patient Selection for Percutaneous Coronary Intervention of Chronic Total Occlusions
Abstract
The most common indication for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is angina relief, which translates into improved physical function and quality of life. As the risk of the procedure is higher compared with non CTO PCI, it is important for operators to understand the current state of literature and have a detailed discussion with patients regarding risks and benefits prior to the procedure. This article discusses indications for the procedure and how to appropriately select patients for CTO PCI, in hopes of inspiring the reader to consistently offer this approach to indicated patients regardless of anatomic complexity.
Keywords: Angina; Chronic total occlusion; Indications; Patient selection; Percutaneous coronary intervention; Quality of life.
Copyright © 2020 Elsevier Inc. All rights reserved.
Conflict of interest statement
Disclosure T. Hirai: honoraria from Abiomed. J.A. Grantham: speaking fees and honoraria from Boston Scientific, Abbott Vascular, and Asahi Intecc; institutional research grant support from Boston Scientific. He is a part-time employee of Corindus Vascular Robotics and owns equity in the company.
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