Cardiac and Extracardiac Complications During CTO Interventions
The available data show that recanalization of a CTO may improve anginal symptoms and left ventricular function, and appears to have a positive long-term prognostic effect. However, further scientific evidence is required in order to better identify the subgroups of patients for whom the recanalization of a CTO has a favorable impact on the incidence of major clinical events, such as MI, heart failure or death.
The continuous development of dedicated devices, the spread of this knowledge (mainly from Japan) and, perhaps, the identification of special referral centers for recanalization of CTOs could help to both enhance the rate of successful intervention and to reduce the incidence of periprocedural complications.
Future Perspective
The available data show that recanalization of a CTO may improve anginal symptoms and left ventricular function, and appears to have a positive long-term prognostic effect. However, further scientific evidence is required in order to better identify the subgroups of patients for whom the recanalization of a CTO has a favorable impact on the incidence of major clinical events, such as MI, heart failure or death.
The continuous development of dedicated devices, the spread of this knowledge (mainly from Japan) and, perhaps, the identification of special referral centers for recanalization of CTOs could help to both enhance the rate of successful intervention and to reduce the incidence of periprocedural complications.
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