Interv Akut Kardiol. 2020;19(1):31-38 | DOI: 10.36290/kar.2020.016

State-of-the-art PCI for coronary artery chronic total occlusion

Vojtěch Novotný

Kardiologické centrum AGEL, a. s., Pardubice

PCI for chronic total occlusion (CTO) of coronary arteries is one of the most dynamically developing fields in interventional cardiology. The issue itself involves some controversy. These are very complex procedures which, on the one hand, can significantly improve the quality of life of many patients, but on the other hand, are burdened by a higher risk of periprocedural complications compared to common non-CTO PCI. The fact that, even in our conditions, dedicated CTO programmes with increasing numbers of these procedures were set up at some centres implies that it is a current issue. The review article presents an abridged version of a state-of-the-art document developed by world-renowned experts in the subject of CTO. The basic principles of a successful and safe CTO PCI programme are divided into seven general principles, ranging from indications to planning of procedures and their technical aspects to minimizing the risk of developing and/or possibly managing complications.

Keywords: CTO, chronic total occlusion, PCI, state-of-the-art, review article.

Published: June 1, 2020  Show citation