Update on Coronary Chronic Total Occlusion Percutaneous Coronary Intervention

Emmanouil S. Brilakis, Dimitri Karmpaliotis, Minh N. Vo, Mauro Carlino, Alfredo R. Galassi, Marouane Boukhris, Khaldoon Alaswad, Leszek Bryniarski, William L. Lombardi, Subhash Banerjee

Research output: Contribution to journalArticlepeer-review


Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has significantly evolved during recent years. High success rates are being achieved by experienced centers and operators, but not at less-experienced centers. Use of CTO crossing algorithms can help improve the success and efficiency of these potentially lengthy procedures. There is a paucity of clinical trial data examining clinical outcomes of CTO PCI, which is critical for further adoption and refinement of the procedure. We provide a detailed overview of the clinical evidence and current available crossing strategies, with emphasis on recent developments and techniques.

Original languageEnglish
JournalInterventional Cardiology Clinics
Publication statusAccepted/In press - 2016


  • Chronic total occlusion
  • Coronary revascularization
  • Outcomes
  • Percutaneous coronary intervention
  • Techniques

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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