Successful percutaneous coronary intervention of chronic total occlusions (CTO) is associated with favorable clinical outcomes in selected subsets of patients. The success rate of CTO interventions greatly increased over the last decades, thanks to the development of dedicated materials and interventional strategies. Nevertheless, CTO interventions are still challenging with higher complication rates and lower success rates compared to standard percutaneous coronary interventions. Dedicated CTO operators are warranted in order to minimize the rate of complications and to achieve a success rate near to 90[%]. This state of the art paper is aimed to provide updated evidences on the clinical benefit of CTO recanalization and to describe specific interventional techniques for CTO recanalization.

Il trattamento delle occlusioni coronariche croniche: Stato dell'arte [Treatment of coronary chronic total occlusions: State of the art]

Galassi, Alfredo;Mario, Carlo Di
2017

Abstract

Successful percutaneous coronary intervention of chronic total occlusions (CTO) is associated with favorable clinical outcomes in selected subsets of patients. The success rate of CTO interventions greatly increased over the last decades, thanks to the development of dedicated materials and interventional strategies. Nevertheless, CTO interventions are still challenging with higher complication rates and lower success rates compared to standard percutaneous coronary interventions. Dedicated CTO operators are warranted in order to minimize the rate of complications and to achieve a success rate near to 90[%]. This state of the art paper is aimed to provide updated evidences on the clinical benefit of CTO recanalization and to describe specific interventional techniques for CTO recanalization.
Chronic total occlusions; Recanalization; Chronic Disease; Contrast Media; Coronary Angiography; Coronary Occlusion; Coronary Restenosis; Europe; Humans; Kidney Diseases; Multicenter Studies as Topic; Myocardial Revascularization; Percutaneous Coronary Intervention; Radiation Exposure; Randomized Controlled Trials as Topic; Treatment Outcome; Ventricular Dysfunction, Left; Cardiology and Cardiovascular Medicine
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/20.500.11769/318810
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