New Advances in Chronic Total Occlusions.

Autor:	Konstantinidis N; National Institute for Health Research (NIHR) Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom.; 1st Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece., Pighi M; National Institute for Health Research (NIHR) Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom., Dogu Kilic I; National Institute for Health Research (NIHR) Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom., Serdoz R; National Institute for Health Research (NIHR) Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom., Sianos G; 1st Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece., Di Mario C; National Institute for Health Research (NIHR) Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom.
Jazyk:	angličtina
Zdroj:	Interventional cardiology (London, England) [Interv Cardiol] 2014 Aug; Vol. 9 (3), pp. 208-212.
DOI:	10.15420/icr.2014.9.3.208
Abstrakt:	Coronary chronic total occlusions (CTOs) still represent the greatest technical challenge that interventional cardiologists face. CTOs remain seriously undertreated with percutaneous techniques, far below their prevalence. One reason for the low uptake was the suboptimal CTO percutaneous coronary intervention (PCI) success rates over a long period of time. During the last years, dedicated groups of experts in Japan, Europe and United States fostered the development and standardisation of modern CTO recanalisation techniques, along with providing focused training and proctorship worldwide. As a result, dedicated operators achieved success rates far beyond 90 %, while coping with lesions of increasing complexity. A series of studies, mainly retrospective and observational in nature, explored the prognostic impact of CTO PCI, revealing that successful lesion recanalisation is related to improved patient outcome and anginal status; further evidence from randomised trials is on the way. The following review reports on the most recent advances in the field of CTO recanalisation, in an attempt to promote a more balanced approach in patients with chronically occluded coronary arteries and encourage more operators to cope with these inherently complex lesions. Competing Interests: Disclosure: The authors have no conflicts of interest to declare.
Databáze:	MEDLINE
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