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Current Cardiology Reports
Published in: Current Cardiology Reports 5/2010

01-09-2010

Antegrade, Retrograde, and Combination Strategies for Chronic Total Occlusions

Authors: Philippe Genereux, George Dangas

Published in: Current Cardiology Reports | Issue 5/2010

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Abstract

Chronic total occlusion (CTO) represents one of the most challenging lesion subsets faced by the interventional cardiologist. CTO is a common problem, being present in more than 30% of patients undergoing coronary angiography. Over the past 10 years, the success rate of recanalization has increased from approximately 50–85%. Developments in guidewire technology, imaging technique, and coronary devices have contributed to the improved prognosis of patients affected by a CTO lesion. Enhancement in antegrade and retrograde techniques of recanalization also result in improved outcomes. Benefits of CTO recanalization may include symptom relief, decreased need for coronary artery bypass graft surgery, improved left ventricular ejection fraction, and in some cases an improved survival.
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Metadata
Title
Antegrade, Retrograde, and Combination Strategies for Chronic Total Occlusions
Authors
Philippe Genereux
George Dangas
Publication date
01-09-2010
Publisher
Current Science Inc.
Published in
Current Cardiology Reports / Issue 5/2010
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-010-0131-8

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