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


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 ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from

Read next article
Introducing a new EAPCI programme: the Valve for Life initiative