Myths to Debunk to Improve Management, Referral, and Outcomes in Patients with Chronic Total Occlusion of an Epicardial Coronary Artery

Lorenzo Azzalini, Minh Vo, Joseph Dens, Pierfrancesco Agostoni

Research output: Contribution to journalReview articlepeer-review

63 Scopus citations

Abstract

A chronic total occlusion (CTO) is defined as an occlusive (100% stenosis) coronary lesion with anterograde Thrombolysis In Myocardial Infarction 0 flow for at least 3 months. CTOs are common in patients referred for coronary angiography (up to 33%) and are associated with angina, impaired quality of life, and reduced survival. Unfortunately, CTO percutaneous coronary intervention continues to be underperformed worldwide (10% to 15% at most institutions, ∼30% where expert operators are available). The aim of this study was to address common fallacies pertaining to CTOs among cardiologists by providing a concise review of pertinent previously published reports along with an update on safety and efficacy of state-of-the-art CTO percutaneous coronary intervention techniques.

Original languageEnglish
Pages (from-to)1774-1780
Number of pages7
JournalAmerican Journal of Cardiology
Volume116
Issue number11
DOIs
StatePublished - 1 Dec 2015
Externally publishedYes

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