The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorial

Percutaneous coronary intervention for chronic total occlusions: time to move from the annex to mainstream?

EuroIntervention 2016;11:974-976. DOI: 10.4244/EIJV11I9A200

Department of Cardiology, Belfast Health and Social Care Trust, Belfast City Hospital, Belfast, United Kingdom


Chronic total occlusion (CTO) of a coronary artery remains a challenging condition with regard to percutaneous coronary intervention (PCI). Whilst approximately 20%1 of patients with coronary disease undergoing diagnostic angiography have a documented CTO, only 5% of PCI is for CTO lesions across different healthcare systems, with little change in the overall percentage attempted over the last eight years2,3. Success rates have increased at a rate of 1%4 per year overall and are now over 90% in experienced centres. At the same time, complication rates have fallen steadily4. Often the main reason for not offering a CTO PCI to an individual patient is ...

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