Chronic Total Occlusion Interventions in Patients with Reduced Ejection Fraction

Autor: Prasanna Sengodan, Rhian E. Davies, Shunsuke Matsuno, Albert K. Chan, Kathleen Kearney, Adam Salisbury, J. Aaron Grantham, Taishi Hirai
Rok vydání: 2022
Předmět:
Zdroj: Current cardiology reportsPapers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance.
ISSN: 1534-3170
Popis: The goal of this paper is to review the current evidence surrounding CTO PCI in patients with low EF, the most high-risk population to treat. We also present pertinent case examples and offer practical tips to increase success and lower complications when performing CTO PCI in patients with low EF.In a prospective randomized control study, greater improvement in angina frequency and quality of life, assessed by the Seattle Angina Questionnaire, was achieved by CTO PCI compared to optimal medical therapy. Furthermore, after successful CTO PCI, improvements in health status were similar in patients with both low and normal EF. CTO PCI can not only ameliorate symptoms of angina in patients with low EF but may also potentially improve EF in carefully selected populations. However, information regarding treatment of this high-risk population is lacking and large-scale studies targeting patients with severely reduced EF remain necessary.
Databáze: OpenAIRE