RT Book, Section
A1 McCabe, James M.
A1 Lombardi, William L.
A2 Samady, Habib
A2 Fearon, William F.
A2 Yeung, Alan C.
A2 King III, Spencer B.
SR Print(0)
ID 1146790270
T1 Percutaneous Coronary Intervention in Chronic Total Occlusion
T2 Interventional Cardiology, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071820363
LK accesscardiology.mhmedical.com/content.aspx?aid=1146790270
RD 2024/04/19
AB A  coronary  artery  chronic  total  occlusion  (CTO)  is  defined  as  an  occlusion  present  for  3  or  more  months,  which  will  feature  classic  histopathologic  changes  (Fig.  35-1).  Although  considered  separately  in  this  book,  the  treatment  decisions  for  coronary  revascularization  should  focus  on  coronary  physiology  and  ischemia  rather  than  specific  anatomic  considerations.  To  that  end,  the  indications  for  treatment  of  CTOs  should  be  indistinguishable  from  95%  coronary  lesions.  However,  once  the  decision  to  treat  a  CTO  percutaneously  is  chosen,  the  technical  aspects  of  this  treatment  diverge  significantly  from  standard  coronary  intervention.  For  many  interventionalists,  CTOs  continue  to  represent  a  major  technical  challenge.