Chronic total occlusion revascularization:A complex piece to"complete"the puzzle  

作　　者：Iacopo Muraca Nazario Carrabba Giacomo Virgili Filippo Bruscoli Angela Migliorini Matteo Pennesi Giulia Pontecorboli Niccolò Marchionni Renato Valenti 

机构地区：[1]Cardiovascular Department,Careggi University Hospital,Florence 50134,Italy

出　　处：《World Journal of Cardiology》2022年第1期13-28,共16页世界心脏病学杂志（英文版）（电子版）

摘　　要：Treatment of coronary chronic total occlusion(CTO)with percutaneous coronary intervention(PCI)has rapidly increased during the past decades.Different strategies and approach were developed in the recent past years leading to an increase in CTO-PCI procedural success.The goal to achieve an extended revascularization with a high rate of completeness is now supported by strong scientific evidences and consequently,has led to an exponential increase in the number of CTO-PCI procedures,even if are still underutilized.It has been widely demonstrated that complete coronary revascularization,achieved by either coronary artery bypass graft or PCI,is associated with prognostic improvement,in terms of increased survival and reduction of major adverse cardiovascular events.The application of“contemporary”strategies aimed to obtain a state-of-the-art revascularization by PCI allows to achieve long-term clinical benefit,even in highrisk patients or complex coronary anatomy with CTO.The increasing success of CTO-PCI,allowing a complete or reasonable incomplete coronary revascularization,is enabling to overcome the last great challenge of interventional cardiology,adding a“complex”piece to“complete”the puzzle.

关 键 词：Chronic total occlusion Percutaneous coronary intervention Complete revascularization PROGNOSIS Coronary artery disease 

分 类 号：R541.4[医药卫生—心血管疾病]