[en] Despite an incidence of about 15% of the patients undergoing coronary angiography, total chronic occlusions (CTO) are rarely revascularized by percutaneous angioplasty (PCI). Nevertheless, current evidence suggest that successful CTO-PCI improve symptoms, quality of live and long-term survival. During the last years, improvement of specific techniques for these complexes procedures and increasing experience of operators allow actually to obtain success and complications rates almost equivalent to non-CTO lesions angioplasty. This review focus on the clinical benefits of CTO revascularization and on appropriate patient selection.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
MARECHAL, Patrick ; Centre Hospitalier Universitaire de Liège - CHU > Service de cardiologie
GACH, Olivier ; Centre Hospitalier Universitaire de Liège - CHU > Service de cardiologie
DAVIN, Laurent ; Centre Hospitalier Universitaire de Liège - CHU > Service de cardiologie
MARTINEZ, Christophe ; Centre Hospitalier Universitaire de Liège - CHU > Service de cardiologie
LEMPEREUR, Mathieu ; Centre Hospitalier Universitaire de Liège - CHU > Service de cardiologie
Magnee, marc
Lancellotti, Patrizio ; Université de Liège > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie
Language :
French
Title :
Pourquoi traiter une occlusion coronaire totale chronique ?
Alternative titles :
[en] Why to treat a total chronic coronary occlusion?
Sianos G, Werner GS, Galas AR, et al. Recanalisation of chronic total coronary occlusions: 2012 consensus document from the EuroCTO club. Eurointervention 2012;8:139-45.
Grantham JA, Marso SP, Spertus JH, et al. Chronic total occlusion angioplasty in the United States. JACC Cardiovasc Interv 2009;6:479-86.
Ramunddal T, Hoebers L, Henriques JP, et al. Chronic total occlusions in Sweden a report from the Swedish Coronary Angiography and Angioplasty Registry. PLoS One 2014;9:e103850.
Joal D, Mansour D. How to justify CTO revascularisation. In: Rinfret S Ed. Percutaneous intervention for coronary chronic total occlusion, the hybrid approach. Sprynger Quebec 2016;1-11.
Werner GS, Surber R, Ferrari M, et al. The functional reserve of collaterals supplying long-Term chronic total coronary occlusions in patients without prior myocardial infarction. Eur Heart J 2006;27:2406-12.
Suttorp MJ, Laarman GJ, Rachel BM, et al. Primary stenting of Totally Occluded Native Coronary Arteries II ( (PRISON II): A randomized comparison of bare metal stent implantation with sirolimus-eluting stent implantation for the treatment of total coronary occlusions. Circulation 2006;114:921-8.
Grantham JA, Jones PG, Cannon L, et al. Quantifying the early health status benefits of successful chronic total occlusion recanalization: Results from the FlowCardias Approach to Chronic Total Occlusion Recanalization (FACTOR) Trial. Circ Cardiovasc Qual Outcomes 2010;3:284-90.
Hoebers LP, Claessen BE, Elias J, et al. Meta-Analysis on the impact of percutaneous coronary intervention of chronic total occlusions on left ventricular function and clinical outcome. Int J Cardiol 2015;187:90-6.
Henriques JP, Hoebers LP, Ramunddal T, et al. Percutaneous intervention for concurrent chronic total occlusions in patients with STEMI: The EXPLORE trial. J Am Coll Cardiol 2016;68:1622-32.
Werner GS, Surber R, Kuethe F, et al. Collaterals and the recovery on left ventricular function after recanalization of a chronic total coronary occlusion. Am Heart J 2005;149:129-37.
Garcia S, Sandoval Y, Roukoz H, et al. Outcomes after complete versus incomplete revas-cularisation in patients with multivessel coronary artery disease: A meta-Analysis of 89, 883 patients enrolled in randomized clinical trials and observational studies. J Am Coll Cardiol 2013;62:1421-31.
Head SJ, Mack MJ, Holmes DR, et al. Incidence, predictors and outcomes of incomplete revascularization after percutaneous coronary intervention and coronary artery bypass grafting: A subgroup analysis of 3-year SYNTAX data. Eur J Cardiothorac Surg 2012;41:535-41.
Widimsky P, Straka Z, Stros P, et al. One-year coronary bypass graft potency: A randomized comparison between off-pump and on-pump surgery angiographic results of the Prague-4 trial. Circulation 2004;110:3418-23.
Serruys PW, Morice MC, Kappetein AP, et al. Percutaneous coronary intervention versus coronary artery bypass grafting for severe coronary artery disease. N Engl J Med 2009;360:961-72.
Godino C, Bassanelli G, Economou FI, et al. Predictors of cardiac death in patients with coronary chronic total occlusion not revascularized by PCI. Int J Cardiol 2013;168:1402-9.
Nombela-Franco L, Mitroi CD, Fernandez-Lozano I, et al. Ventricular arrhythmias among implantable cardioverter-defibrillator recipients for primary prevention: Impact of chronic total coronary occlusion (VACTO Primary Study). Circ Arrhythm Electrophysiol 2012;1:147-54.
Fefer P, Knutson ML, Chema AN, et al. Current perspectives on coronary chronic total occlusions registry. J Am Col Cardiol 2012;59:991-7.
Hoebers LP, Claessen BE, Dangas GD, et al. Contemporary overview and clinical perspectives of chronic total occlusions. Nat Rev Cardiol 2014;11:458-69.
Claessen BE, Dangas GD, Weisz G, et al. Prognostic impact of a chronic total occlusion in a non-infarct related artery in patients with ST-segment elevation myocardial infarction: 3-year results from the HORIZON-AMI trial. Eur Heart J 2012;33:768-75.
Hoebers LP, Vis MM, Claessen BE, et al. The impact of multivessel disease with and without a co-existing chronic total coronary occlusion on short-And long-Term mortality in ST-elevation myocardial infarction patients with and without cardiogenic shock. Eur J Heart Fail 2013;15:425-32.
George S, Cockburn J, Clayton TC, et al. Long-Term follow-up of elective chronic total coronary occlusion angioplasty: Analysis from the U.K. Central Cardiac Audit Database. J Am Coll Cardiol 2014;64:235-43.
Claessen BE, Dangas GD, Godino C, et al. Impact of target vessel on long-Term survival after percutaneous coronary intervention for chronic total occlusions. Catheter Cardiovasc Inter 2013;82:76-82.
Windecker S, Kohl P, Alfonso F, et al. 2014 ESC /EACTS Guidelines on myocardial revascularization: The task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Intervention 5EAPCI). Eur Heart J 2014, 35:2541-619.
Galassi RG, Brilakis ES, Bouchais M, et al. Appropriateness of percutaneous revascularization of coronary chronic total occlusions: An overview. Eur Heart J 2016;37:2692-700.
Brilakis ES, Banerjee S, Karmpaliotis D, et al. Procedural outcomes of chronic total occlusion percutaneous coronary intervention: A report from the NCDR (National Cardiovascular Data Registry). JACC Cardiovasc Interv 2015;8:245-53.
Galassi AR, Tomasello SD, Reifart N, et al. In hospital outcomes of percutaneous coronary intervention in patients with chronic total occlusion: Insights from the ERCTO (European Registry of Chronic Total Occlusion) registry. Eurointervention 2011;7 :472-9.
Di Mario C, Werner GS, Sianos G, et al. European perspective in the recanalisation of Chronic Total Occlusions (CTO): Consensus document from the EuroCTO Club. Eurointervention 2007;3:30-3.
Valenti R, Vergara R, Migliorini A, et al. Predictors of reocclusion after successful drug-eluting stent-supported percutaneous coronary intervention of chronic total occlusion. J Am Coll Cardiol 2013;61:545-50.
Goldman S, Zadina K, Moritz T, et al. Long-Term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: Results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol 2004;44:2149-56.
