Indications and Patient Selection for Percutaneous Coronary Intervention of Chronic Total Occlusions

Taishi Hirai; J Aaron Grantham

doi:10.1016/j.iccl.2020.09.002

Indications and Patient Selection for Percutaneous Coronary Intervention of Chronic Total Occlusions

Interv Cardiol Clin. 2021 Jan;10(1):1-5. doi: 10.1016/j.iccl.2020.09.002. Epub 2020 Oct 29.

Authors

Taishi Hirai¹, J Aaron Grantham²

Affiliations

¹ University of Missouri, One Hospital Drive, Columbia, MO 65212, USA. Electronic address: hirait@health.missouri.edu.
² Saint Luke's Mid America Heart Institute, 4330 Wornall Road, Kansas City, MO 64111, USA; University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO 64108, USA.

PMID: 33223098
DOI: 10.1016/j.iccl.2020.09.002

Abstract

The most common indication for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is angina relief, which translates into improved physical function and quality of life. As the risk of the procedure is higher compared with non CTO PCI, it is important for operators to understand the current state of literature and have a detailed discussion with patients regarding risks and benefits prior to the procedure. This article discusses indications for the procedure and how to appropriately select patients for CTO PCI, in hopes of inspiring the reader to consistently offer this approach to indicated patients regardless of anatomic complexity.

Keywords: Angina; Chronic total occlusion; Indications; Patient selection; Percutaneous coronary intervention; Quality of life.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Chronic Disease
Coronary Occlusion* / diagnosis
Coronary Occlusion* / surgery
Humans
Patient Selection
Percutaneous Coronary Intervention*
Quality of Life
Treatment Outcome