Midterm Angina-Related Quality of Life Benefits After Percutaneous Coronary Intervention of Chronic Total Occlusions

2017 ◽  
Vol 33 (12) ◽  
pp. 1668-1674 ◽  
Author(s):  
Luiz F. Ybarra ◽  
Rustem Dautov ◽  
Claire Gibrat ◽  
Sonny Dandona ◽  
Stéphane Rinfret
Keyword(s):  
Quality Of Life ◽  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Chronic Total Occlusions ◽  
Percutaneous Coronary ◽  
Related Quality

The Role of Percutaneous Coronary Intervention in the Treatment of Chronic Total Occlusions: Rationale and Review of the Literature

2019 ◽  
Vol 17 (3) ◽  
pp. 278-290
Author(s):  
Harsh Agrawal ◽  
Richard A. Lange ◽  
Ruben Montanez ◽  
Soma Wali ◽  
Khan Omar Mohammad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Cochrane Library ◽  
Success Rates ◽  
Chronic Total Occlusions ◽  
Percutaneous Coronary

Background: Chronic total occlusion (CTO) of a coronary artery is defined as an occluded segment with no antegrade flow and a known or estimated duration of at least 12 weeks. </P><P> Objective: We considered the current literature describing the indications and clinical outcomes for denovo CTO- percutaneous coronary intervention (PCI), and discuss the role of CTO-PCI and future directions for this procedure. </P><P> Methods: Databases (PubMed, the Cochrane Library, Embase, EBSCO, Web of Science, and CINAHL were searched and relevant studies of CTO-PCI were selected for review. </P><P> Results: The prevalence of coronary artery CTO’s has been reported to be ~ 20% among patients undergoing diagnostic coronary angiography for suspected coronary artery disease. Revascularization of any CTO can be technically challenging and a time-consuming procedure with relatively low success rates and may be associated with a higher incidence of complications, particularly at non-specialized centers. However, with an increase in experience and technological advances, several centers are now reporting success rates above 80% for these lesions. There is marked variability among studies in reporting outcomes for CTO-PCI with some reporting potential mortality benefit, better quality of life and improved cardiac function parameters. Anecdotally, properly selected patients who undergo a successful CTO-PCI most often have profound relief of ischemic symptoms. Intuitively, it makes sense to revascularize an occluded coronary artery with the goal of improving cardiovascular function and patient quality of life. </P><P> Conclusion: CTO-PCI is a rapidly expanding specialized procedure in interventional cardiology and is reasonable or indicated if the occluded vessel is responsible for symptoms or in selected patients with silent ischemia in whom there is a large amount of myocardium at risk and PCI is likely to be successful.

Health-related quality of life and long-term mortality in patients treated with percutaneous coronary intervention

2010 ◽  
Vol 159 (3) ◽  
pp. 471-476 ◽  
Author(s):  
Lisanne Schenkeveld ◽  
Susanne S. Pedersen ◽  
Josephine W.I. van Nierop ◽  
Mattie J. Lenzen ◽  
Peter P.T. de Jaegere ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Health Related Quality ◽  
Percutaneous Coronary ◽  
Related Quality ◽  
Health Related ◽  
Long Term Mortality
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