Chronic total occlusions (CTO) continue to be one of the most challenging coronary lesion subsets to recanalise. However, CTO percutaneous coronary intervention (PCI) has evolved substantially during recent years, with improvements in equipment, techniques, and available data, as eloquently summarised in the 2019 EuroCTO Club consensus statement1.
CTO PCI should be performed when the anticipated benefits (such as improvement of symptoms and myocardial function, reduction in the risk for arrhythmias, and better tolerance of subsequent acute coronary syndromes) exceed the potential risks (periprocedural and long-term complications) and when the likelihood of success is high (which in turn ...
1. Minneapolis Heart Institute, Minneapolis, MN, USA
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