ArticleEuropean heart journal supplements : journal of the European Society of Cardiology2023
Dilemmas in cardiology: when to recanalize a chronic total occlusion.
Article in European heart journal supplements : journal of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Non-invasive multiparametric evaluation of patients with chronic total occlusions compared with single-photon emission computed tomography results.Cardiology journal · 2026Article
- Effect of Coronary Collateral Supply on Left Ventricular Global Longitudinal Strain after Recanalization of Chronic Total Occlusion.Diagnostics (Basel, Switzerland) · 2024Article
- Impact of successful antegrade and retrograde CTO PCI on short-term prognosis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024Article
- A non-interventional cardiologist's guide to coronary chronic total occlusions.Frontiers in cardiovascular medicine · 2024Review
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Authors and funding
1 author at 1 institution in 1 country.
Funding
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Abstract
The decision whether or not to recanalize a chronic total occlusion (CTO) of a coronary artery is truly a dilemma for the cardiologist. The procedure is in fact complex, with a non-negligible rate of complications and with a probability of success lower than that of non-obstructive lesions. The analysis of the data available in the literature, with the significant discrepancy between the results of the randomized studies and the observational studies, does not currently allow conclusive statements on the role of the percutaneous coronary interventions in CTO. It is therefore essential to incorporate clinical, anatomical and procedural elements into the decision-making algorithm. While awaiting new randomized clinical trials of greater dimensions and better methodology, a careful selection of patients is certainly essential, limiting the procedure to those who are symptomatic or who have a high ischaemic burden and excluding those who have no evidence of vitality, without which it is not legitimate to expect any benefit from the intervention. Finally, the presence of the collateral circulation does not in itself appear to be an element that should have a significant decision-making role.
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Registered trials
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