title: PCI of CTOs: hope or hype?
abstract: Compared with successful PCI, failed PCI of CTOs is associated with higher rates of in-hospital death, MI, CABG, perforation, and cardiac tamponade, but the absolute risk difference is small. Since 1991, the overall rates of in-hospital complications are declining, due to significant improvements in CTO technology and operator expertise. Outcomes after CTO-PCI may be enhanced by proper patient selection (resistant angina; large areas of ischemia; and anatomic suitability for antegrade, retrograde, and/or subintimal recanalization) and by reliance on expert operators using a flexible incremental approach to recanalization.
authors: Department of Cardiovascular Medicine, Beaumont Health, Royal Oak, Michigan.
authors: Justin E
authors: JE
authors: Trivax
authors: Robert D
authors: RD
authors: Safian
mesh_terms: D054059:Coronary Occlusion / Q000601:surgery*; D006801:Humans; D064887:Observational Studies as Topic; D062645:Percutaneous Coronary Intervention; D011183:Postoperative Complications