Purpose of ReviewTo summarize novel techniques and developments in chronic total occlusion (CTO) percutaneous coronary intervention (PCI).Recent FindingsUsing an algorithmic, step-by-step approach can help overcome several complex CTO lesions subsets,… Click to show full abstract
Purpose of ReviewTo summarize novel techniques and developments in chronic total occlusion (CTO) percutaneous coronary intervention (PCI).Recent FindingsUsing an algorithmic, step-by-step approach can help overcome several complex CTO lesions subsets, such as proximal cap ambiguity, ostial location, in-stent occlusion, bifurcations, balloon uncrossable and undilatable lesions. Similarly, an algorithmic approach can help prevent and optimally treat CTO PCI-related complication, such as perforation, radiation, and contrast-induced nephropathy.SummaryContinual update and reassessment of each operator’s algorithm for performing CTO PCI can lead to improved outcomes.
               
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