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Treatment of the chronic total occlusion: a call to action for the interventional community.
Catheter Cardiovasc Interv ; 85(5): 771-8, 2015 Apr.
Article em En | MEDLINE | ID: mdl-25382239
There is substantial evidence that recanalization of a chronic total occlusion is beneficial; nonetheless, it is generally underutilized in clinical practice. We consider the Aesop's fable of the "Fox and the Grapes" as analogous to the current situation in interventional cardiology. The technical challenges in achieving CTO recanalization has led interventionalists, clinical cardiologists, and sometimes even patients to believe that CTO recanalization is not effective, and, therefore, not needed. This perspective reviews available data regarding efficacy and safety of CTO percutaneous coronary intervention (PCI) in the current drug-eluting stent era, discusses areas where more studies are required, and encourages the interventional community to utilize CTO PCI where appropriate based on current evidence.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Oclusão Coronária / Stents Farmacológicos / Intervenção Coronária Percutânea Limite: Humans Idioma: En Revista: Catheter Cardiovasc Interv Assunto da revista: CARDIOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Oclusão Coronária / Stents Farmacológicos / Intervenção Coronária Percutânea Limite: Humans Idioma: En Revista: Catheter Cardiovasc Interv Assunto da revista: CARDIOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Itália