In this case, Dr. Francis Kim of Hofstra-Northwell School of Medicine in New York presents a patient severely reduced left ventricular systolic function, chronic total occlusion of the right coronary artery (RCA), and prior coronary intervention of the proximal left anterior descending and proximal left circumflex arteries. In addition, the patient had acute anterior wall … Continue reading “High-Risk Intervention Using the Impella® Pump for Three-Vessel Disease”
Tag: CTO PCI
Key Takeaways Criticism of successful CTO PCI exists, particularly in regard to its effect on mortality. In this large contemporary cohort of patients with CTOs, successful CTO PCI correlated with a lower mortality risk as well as a decreased CABG requirement. Reference: Tsai TT et al. JACC Cardiovasc Interv. 2017;10(9):866-875. According to the American College … Continue reading “Successful CTO PCI Associated with Increased Survival”
- Periprocedural myocardial infarction (PMI) is more prevalent in patients undergoing PCI for chronic total occlusions.
- Patients with PMI who require multiple lesion treatment, a retrograde approach to therapy, and more stents had a higher rate of mortality at follow-up.
- Previous studies indicate the presence of chronic total occlusion (CTO) in hospitalized acute coronary syndrome patients correlates with higher incidences of in-hospital and long-term mortality.
- This study shows that presence of CTO in coronary artery disease (CAD) patients with ischemic heart failure results in adverse long-term prognosis.