Appropriateness of percutaneous revascularization of coronary chronic total occlusions: An overview

Alfredo Ruggero Galassi, Salvatore D. Tomasello, Dimitri Karmpaliotis, Alfredo R. Galassi, Masahisa Yamane, Marouane Boukhris, Stephane Rinfret, Emmanouil S. Brilakis, Georgios Sianos, Alfredo R. Galassi, Osamu Katoh, Carlo Di Mario, Gerald S. Werner, Bradley H. Strauss, Nicolaus Reifart

Risultato della ricerca: Articlepeer review

77 Citazioni (Scopus)


Coronary chronic total occlusions (CTOs) are commonly encountered in patients undergoing coronary angiography. Several observational studies have demonstrated that successful CTO revascularization is associated with better cardiovascular outcomes and enhanced quality of life (QOL). However, in the absence of randomized trials, its prognostic benefit for patients remains debated. Over the past decade, the interest of the interventional community in CTO percutaneous coronary intervention (PCI) has exponentially grown due to important developments in dedicated equipment and techniques, resulting in high success and low complication rates. Both European and American guidelines have assigned a class IIa (level of evidence B) recommendation for CTO PCI. In the current review, we focus on the impact of CTO revascularization on clinical outcomes and QOL and on appropriate patient selection, and we provide a critical assessment of the current guidelines and recommendations on CTO PCI.
Lingua originaleEnglish
pagine (da-a)2692-2700
Numero di pagine9
RivistaEuropean Heart Journal
Stato di pubblicazionePublished - 2016

All Science Journal Classification (ASJC) codes

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