Premium
Chronic coronary total occlusions: Let's make the long story short
Author(s) -
Khera Sahil,
Dangas George D.
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29722
Subject(s) - medicine , coronary occlusion , occlusion , cardiology , myocardial infarction , percutaneous coronary intervention , coronary artery occlusion
Key Points Noninfarct‐related chronic total occlusions are encountered approximately in 15% of patients presenting with acute ST‐elevation myocardial infarction. The presence of noninfarct‐related chronic total occlusion portends worse mid‐ and long‐term clinical outcomes in accordance with the “spare tire” hypothesis. Numerous risk scores have been developed for ascertaining procedural success for chronic total occlusion percutaneous coronary interventions. Complete occlusion length over 20 mm is a readily available, important factor for unsuccessful chronic total occlusion recanalization, both in stable coronary artery disease and in patients with noninfarct‐related chronic total occlusion.