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Review
. 2021 Jan 12;10(2):258.
doi: 10.3390/jcm10020258.

Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction

Seung-Hyun Kim  1 , Michael Behnes  1 , Kambis Mashayekhi  2 , Alexander Bufe  3   4 , Markus Meyer-Gessner  5 , Ibrahim El-Battrawy  1 , Ibrahim Akin  1
Affiliations
Review

Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction

Seung-Hyun Kim et al. J Clin Med. .

Abstract

Coronary chronic total occlusion (CTO) has gained increasing clinical attention as the most advanced form of coronary artery disease. Prior studies already indicated a clear association of CTO with adverse clinical outcomes, especially in patients with acute myocardial infarction (AMI) and concomitant CTO of the non-infarct-related coronary artery (non-IRA). Nevertheless, the prognostic impact of percutaneous coronary intervention (PCI) of CTO in the acute setting during AMI is still controversial. Due to the complexity of the CTO lesion, CTO-PCI leads to an increased risk of complications compared to non-occlusive coronary lesions. Therefore, this review outlines the prognostic impact of CTO-PCI in patients with AMI. In addition, the prognostic impact of periprocedural myocardial infarction caused by CTO-PCI will be discussed.

Keywords: acute myocardial infarction; chronic total occlusion; percutaneous coronary intervention; periprocedural myocardial infarction.

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Conflict of interest statement

The authors declare that they have no potential conflict of interest.

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