Rationale for Percutaneous Intervention of CTO
| Autor: | Rimon L. Shaker, Sudhakar Girotra, Kethes C. Waram, Nicholas P. Willis, Ashish Pershad |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Percutaneous Referral business.industry medicine.medical_treatment Percutaneous coronary intervention law.invention Surgery Quality of life Randomized controlled trial law Intervention (counseling) Conventional PCI Emergency medicine medicine Observational study Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interventional Cardiology Clinics. 1:265-279 |
| ISSN: | 2211-7458 |
| DOI: | 10.1016/j.iccl.2012.04.003 |
| Popis: | Chronic total occlusion (CTO) accounts for 15% of cases during diagnostic angiography with a higher referral rate for surgical revascularization. With contemporary strategies and techniques, the success rate with experienced operators can exceed 90%. Currently available observational studies in carefully selected patient populations show evidence of a trend toward symptom relief; improvement in quality of life (QOL), left ventricular (LV) function, and a mortality benefit; and an improved tolerance of future ischemic events. Lack of randomized controlled trials comparing current optimal medical management with percutaneous coronary intervention (PCI) for CTO is a major barrier to widespread adoption of this advanced complex interventional technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|