Antegrade, retrograde, and combination strategies for chronic total occlusions.

Abstract:

:Chronic total occlusion (CTO) represents one of the most challenging lesion subsets faced by the interventional cardiologist. CTO is a common problem, being present in more than 30% of patients undergoing coronary angiography. Over the past 10 years, the success rate of recanalization has increased from approximately 50-85%. Developments in guidewire technology, imaging technique, and coronary devices have contributed to the improved prognosis of patients affected by a CTO lesion. Enhancement in antegrade and retrograde techniques of recanalization also result in improved outcomes. Benefits of CTO recanalization may include symptom relief, decreased need for coronary artery bypass graft surgery, improved left ventricular ejection fraction, and in some cases an improved survival.

journal_name

Curr Cardiol Rep

authors

Genereux P,Dangas G

doi

10.1007/s11886-010-0131-8

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

429-39

issue

5

eissn

1523-3782

issn

1534-3170

journal_volume

12

pub_type

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