Document Detail

Coronary chronic total occlusion.
MedLine Citation:
PMID:  20145595     Owner:  NLM     Status:  MEDLINE    
Percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) remains a major challenge in interventional cardiology. Successful recanalization of a CTO can alleviate angina, reduce the need for coronary artery bypass surgery and increase long-term survival. Improving results from the historically quoted success rates of 50% to the levels now routinely quoted by some operators (80-90%), requires not just skill and experience, but also a thorough understanding of the wide array of materials and techniques now available in this area. The decision to attempt PCI of a CTO (versus continued medical therapy or surgical revascularization) requires an individualized risk/benefit analysis, encompassing clinical, imaging and technical considerations.
C Godino; M Carlino; R Al-Lamee; A Colombo
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Minerva cardioangiologica     Volume:  58     ISSN:  0026-4725     ISO Abbreviation:  Minerva Cardioangiol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-10     Completed Date:  2010-09-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400725     Medline TA:  Minerva Cardioangiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  41-60     Citation Subset:  IM    
San Raffaele Scientific Institute, Milan, Italy.
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MeSH Terms
Chronic Disease
Coronary Stenosis* / diagnosis,  pathology,  physiopathology,  therapy
Diagnostic Imaging
Equipment Design
Myocardial Revascularization / instrumentation,  methods

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