Chronic total occlusion percutaneous coronary interventions: identifying patients at risk of complications.

Chronic total occlusion percutaneous coronary interventions: identifying patients at risk of complications. Expert Rev Cardiovasc Ther. 2020 Apr 29;: Authors: Neupane S, Gupta A, Basir M, Alaswad K Abstract Introduction: Angina refractory to medical therapy and providing complete revascularization (after acute coronary syndrome or in patients with ischemic cardiomyopathy) are common indications for CTO PCI. Unfortunately, CTO PCI is associated with higher rates of complications when compared with non-CTO PCI.Areas covered: In this article, we review available studies on risk prediction in CTO PCI and outline strategies to avoid complications.Expert opinion: Identifying patients at increased risk of periprocedural major adverse cardiovascular events (MACE) is of great importance. It enhances the conversations about the risk and benefits of CTO PCI and it allows for shared decision making when deciding to undergo or forego such procedures. PMID: 32345070 [PubMed - as supplied by publisher]
Source: Expert Review of Cardiovascular Therapy - Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research