Open AccessChronic Total Occlusion Coronary Intervention: In Search of a Definitive Benefit
Author(s) -
Alpesh Shah
Publication year - 2018
Publication title -
methodist debakey cardiovascular journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.552
H-Index - 23
eISSN - 1947-6094
pISSN - 1947-6108
DOI - 10.14797/mdcj-14-1-50
Subject(s) - medicine , percutaneous coronary intervention , conventional pci , coronary occlusion , revascularization , cardiology , intervention (counseling) , occlusion , myocardial infarction , psychiatry
Percutaneous coronary intervention (PCI) of chronic coronary total occlusion is the latest frontier in percutaneous intervention. There are vast improvements in the initial success and safety of the procedure as well as a better understanding of appropriateness and benefits. Advances in technology and skill allow for increased utilization of PCI in cases of chronic coronary total occlusion, with benefits regarding symptoms and quality of life. Percutaneous coronary intervention for chronic coronary total occlusion can correct ischemia and achieve complete revascularization while avoiding traditional coronary bypass grafting, although survival benefits remain unclear.