2009
DOI: 10.1007/s00392-009-0013-5
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Chronic total coronary occlusions in patients with stable angina pectoris: impact on therapy and outcome in present day clinical practice

Abstract: The prevalence of CTOs in patients with stable angina pectoris is high, and it influences the clinical outcome within the first year. The therapeutic strategy is influenced towards a rather conservative approach and lower rates of interventional therapy.

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Cited by 122 publications
(78 citation statements)
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“…According data from registries, CTO prevalence is high -CTO are encountered in 15% to 30% of patients undergoing coronary angiography (17). Compared with failed CTO PCI, successful CTO opening has been associated with angina relief, improvement of left ventricular function, avoidance of coronary artery bypass grafting and increased survival.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…According data from registries, CTO prevalence is high -CTO are encountered in 15% to 30% of patients undergoing coronary angiography (17). Compared with failed CTO PCI, successful CTO opening has been associated with angina relief, improvement of left ventricular function, avoidance of coronary artery bypass grafting and increased survival.…”
Section: Introductionmentioning
confidence: 99%
“…Compared with failed CTO PCI, successful CTO opening has been associated with angina relief, improvement of left ventricular function, avoidance of coronary artery bypass grafting and increased survival. Despite these benefits, less than 10% of percutaneous revascularizations are CTO interventions (17). CTO PCI is performed infrequently (4), likely due to historically low procedural success rates, technical complexity, high equipment use and the potential for major procedural complications (13).…”
Section: Introductionmentioning
confidence: 99%
“…In patients with stable angina in whom chronic total occlusion is diagnosed the one year mortality is almost twofold higher than in patients without CTO (5.5 and 3.1% respectively) [9]. In the group of patients with myocardial infarction the presence of chronic occlusion of other than culprit coronary artery is the strongest factor influencing the risk of death from cardiovascular causes (three-fold increase) [10].…”
Section: Discussionmentioning
confidence: 99%
“…CTO prevalence is high; approximately one-third of patients with significant coronary artery disease on angiography has at least 1 CTO, but only less than 10% of percutaneous revascularisations are CTO interventions (Werner et al, 2009). CTO PCI is performed infrequently, likely due to historically low procedural success rates, technical complexity, high equipment use and the potential for major procedural complications (Shah, 2011).…”
Section: Introductionmentioning
confidence: 99%