Chronic Total Occlusion Coronary Intervention: In Search of a Definitive Benefit
Percutaneous coronary intervention (PCI) of chronic coronary total occlusion is the latest frontier in percutaneous intervention. There are vast improvements in the initial success and safety of the procedure as well as a better understanding of appropriateness and benefits. Advances in technology a...
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Veröffentlicht in: | Methodist DeBakey cardiovascular journal 2018-01, Vol.14 (1), p.50-59 |
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description | Percutaneous coronary intervention (PCI) of chronic coronary total occlusion is the latest frontier in percutaneous intervention. There are vast improvements in the initial success and safety of the procedure as well as a better understanding of appropriateness and benefits. Advances in technology and skill allow for increased utilization of PCI in cases of chronic coronary total occlusion, with benefits regarding symptoms and quality of life. Percutaneous coronary intervention for chronic coronary total occlusion can correct ischemia and achieve complete revascularization while avoiding traditional coronary bypass grafting, although survival benefits remain unclear. |
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Percutaneous coronary intervention for chronic coronary total occlusion can correct ischemia and achieve complete revascularization while avoiding traditional coronary bypass grafting, although survival benefits remain unclear.</description><identifier>ISSN: 1947-6094</identifier><identifier>EISSN: 1947-6108</identifier><identifier>DOI: 10.14797/mdcj-14-1-50</identifier><identifier>PMID: 29623172</identifier><language>eng</language><publisher>United States: The Methodist Hospital Houston, Texas</publisher><subject>Chronic Disease ; Clinical Decision-Making ; Collateral Circulation ; Coronary Angiography ; Coronary Circulation ; Coronary Occlusion - diagnostic imaging ; Coronary Occlusion - mortality ; Coronary Occlusion - physiopathology ; Coronary Occlusion - therapy ; Humans ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - mortality ; Myocardial Infarction - physiopathology ; Myocardial Infarction - therapy ; Patient Selection ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - methods ; Percutaneous Coronary Intervention - mortality ; Review ; Risk Assessment ; Risk Factors ; Treatment Outcome</subject><ispartof>Methodist DeBakey cardiovascular journal, 2018-01, Vol.14 (1), p.50-59</ispartof><rights>2018 Houston Methodist Hospital Houston, Texas 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3020-8aa07bcc53d53275597e03661e1e2d77a35b36f893e8552ce3006a5bece717d23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880561/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880561/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29623172$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Alpesh</creatorcontrib><title>Chronic Total Occlusion Coronary Intervention: In Search of a Definitive Benefit</title><title>Methodist DeBakey cardiovascular journal</title><addtitle>Methodist Debakey Cardiovasc J</addtitle><description>Percutaneous coronary intervention (PCI) of chronic coronary total occlusion is the latest frontier in percutaneous intervention. 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Percutaneous coronary intervention for chronic coronary total occlusion can correct ischemia and achieve complete revascularization while avoiding traditional coronary bypass grafting, although survival benefits remain unclear.</description><subject>Chronic Disease</subject><subject>Clinical Decision-Making</subject><subject>Collateral Circulation</subject><subject>Coronary Angiography</subject><subject>Coronary Circulation</subject><subject>Coronary Occlusion - diagnostic imaging</subject><subject>Coronary Occlusion - mortality</subject><subject>Coronary Occlusion - physiopathology</subject><subject>Coronary Occlusion - therapy</subject><subject>Humans</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Patient Selection</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Percutaneous Coronary Intervention - methods</subject><subject>Percutaneous Coronary Intervention - mortality</subject><subject>Review</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><issn>1947-6094</issn><issn>1947-6108</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUclOwzAQtRCIVqVHrshHLgEvcZxwQIKyVapUJMrZcpwJdZXGxU4r8fcYugjmMtvTmzczCJ1TckVTWcjrZWUWCU0TmghyhPq0SGWSUZIf72NSpD00DGFBonFJZUZOUY8VGeNUsj56Hc29a63BM9fpBk-NadbBuhaPXKxr_4XHbQd-A20Xqzcxw2-gvZljV2ONH6C2re3sBvA9tDHpztBJrZsAw50foPenx9noJZlMn8eju0liOGEkybUmsjRG8EpwJoUoJBCeZRQosEpKzUXJszovOORCMAOckEyLEgzEJSrGB-h2y7tal0uoTBTodaNW3i6jauW0Vf87rZ2rD7dRIs-JyGgkuNwRePe5htCppQ0Gmka34NZBMcJYkVPOeIQmW6jxLgQP9WEMJer3EernETFUVAkS8Rd_tR3Q-7Pzb0PbhFc</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Shah, Alpesh</creator><general>The Methodist Hospital Houston, Texas</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201801</creationdate><title>Chronic Total Occlusion Coronary Intervention: In Search of a Definitive Benefit</title><author>Shah, Alpesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3020-8aa07bcc53d53275597e03661e1e2d77a35b36f893e8552ce3006a5bece717d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Chronic Disease</topic><topic>Clinical Decision-Making</topic><topic>Collateral Circulation</topic><topic>Coronary Angiography</topic><topic>Coronary Circulation</topic><topic>Coronary Occlusion - diagnostic imaging</topic><topic>Coronary Occlusion - mortality</topic><topic>Coronary Occlusion - physiopathology</topic><topic>Coronary Occlusion - therapy</topic><topic>Humans</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - mortality</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Patient Selection</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>Percutaneous Coronary Intervention - mortality</topic><topic>Review</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shah, Alpesh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Methodist DeBakey cardiovascular journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Alpesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Total Occlusion Coronary Intervention: In Search of a Definitive Benefit</atitle><jtitle>Methodist DeBakey cardiovascular journal</jtitle><addtitle>Methodist Debakey Cardiovasc J</addtitle><date>2018-01</date><risdate>2018</risdate><volume>14</volume><issue>1</issue><spage>50</spage><epage>59</epage><pages>50-59</pages><issn>1947-6094</issn><eissn>1947-6108</eissn><abstract>Percutaneous coronary intervention (PCI) of chronic coronary total occlusion is the latest frontier in percutaneous intervention. 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subjects | Chronic Disease Clinical Decision-Making Collateral Circulation Coronary Angiography Coronary Circulation Coronary Occlusion - diagnostic imaging Coronary Occlusion - mortality Coronary Occlusion - physiopathology Coronary Occlusion - therapy Humans Myocardial Infarction - diagnostic imaging Myocardial Infarction - mortality Myocardial Infarction - physiopathology Myocardial Infarction - therapy Patient Selection Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - methods Percutaneous Coronary Intervention - mortality Review Risk Assessment Risk Factors Treatment Outcome |
title | Chronic Total Occlusion Coronary Intervention: In Search of a Definitive Benefit |
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