Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction

Coronary chronic total occlusion (CTO) has gained increasing clinical attention as the most advanced form of coronary artery disease. Prior studies already indicated a clear association of CTO with adverse clinical outcomes, especially in patients with acute myocardial infarction (AMI) and concomita...

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Autores principales: Kim, Seung-Hyun, Behnes, Michael, Mashayekhi, Kambis, Bufe, Alexander, Meyer-Gessner, Markus, El-Battrawy, Ibrahim, Akin, Ibrahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828144/
https://www.ncbi.nlm.nih.gov/pubmed/33445664
http://dx.doi.org/10.3390/jcm10020258
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author Kim, Seung-Hyun
Behnes, Michael
Mashayekhi, Kambis
Bufe, Alexander
Meyer-Gessner, Markus
El-Battrawy, Ibrahim
Akin, Ibrahim
author_facet Kim, Seung-Hyun
Behnes, Michael
Mashayekhi, Kambis
Bufe, Alexander
Meyer-Gessner, Markus
El-Battrawy, Ibrahim
Akin, Ibrahim
author_sort Kim, Seung-Hyun
collection PubMed
description Coronary chronic total occlusion (CTO) has gained increasing clinical attention as the most advanced form of coronary artery disease. Prior studies already indicated a clear association of CTO with adverse clinical outcomes, especially in patients with acute myocardial infarction (AMI) and concomitant CTO of the non-infarct-related coronary artery (non-IRA). Nevertheless, the prognostic impact of percutaneous coronary intervention (PCI) of CTO in the acute setting during AMI is still controversial. Due to the complexity of the CTO lesion, CTO-PCI leads to an increased risk of complications compared to non-occlusive coronary lesions. Therefore, this review outlines the prognostic impact of CTO-PCI in patients with AMI. In addition, the prognostic impact of periprocedural myocardial infarction caused by CTO-PCI will be discussed.
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spelling pubmed-78281442021-01-25 Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction Kim, Seung-Hyun Behnes, Michael Mashayekhi, Kambis Bufe, Alexander Meyer-Gessner, Markus El-Battrawy, Ibrahim Akin, Ibrahim J Clin Med Review Coronary chronic total occlusion (CTO) has gained increasing clinical attention as the most advanced form of coronary artery disease. Prior studies already indicated a clear association of CTO with adverse clinical outcomes, especially in patients with acute myocardial infarction (AMI) and concomitant CTO of the non-infarct-related coronary artery (non-IRA). Nevertheless, the prognostic impact of percutaneous coronary intervention (PCI) of CTO in the acute setting during AMI is still controversial. Due to the complexity of the CTO lesion, CTO-PCI leads to an increased risk of complications compared to non-occlusive coronary lesions. Therefore, this review outlines the prognostic impact of CTO-PCI in patients with AMI. In addition, the prognostic impact of periprocedural myocardial infarction caused by CTO-PCI will be discussed. MDPI 2021-01-12 /pmc/articles/PMC7828144/ /pubmed/33445664 http://dx.doi.org/10.3390/jcm10020258 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Kim, Seung-Hyun
Behnes, Michael
Mashayekhi, Kambis
Bufe, Alexander
Meyer-Gessner, Markus
El-Battrawy, Ibrahim
Akin, Ibrahim
Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction
title Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction
title_full Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction
title_fullStr Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction
title_full_unstemmed Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction
title_short Prognostic Impact of Percutaneous Coronary Intervention of Chronic Total Occlusion in Acute and Periprocedural Myocardial Infarction
title_sort prognostic impact of percutaneous coronary intervention of chronic total occlusion in acute and periprocedural myocardial infarction
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828144/
https://www.ncbi.nlm.nih.gov/pubmed/33445664
http://dx.doi.org/10.3390/jcm10020258
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