Chronic Total Occlusion in 2025

Guest: Gregory Barsness, M.D.

Host: Malcolm Bell, M.D.

Chronic (>3 months) complete epicardial coronary obstructive lesions, often referred to as CTOs, are recognized in a large minority of those referred for coronary angiography yet historically represent <5% of coronary intervention attempts. Improving tools, techniques and strategies have allowed greater access to percutaneous management of symptomatic coronary disease with improved procedural safety and technical and clinical success.

Topics Discussed:

What is a CTO and who do they affect?
What are the management options for those with CTO?
How are candidates for CTO PCI identified?
What are the risks and anticipated clinical benefits of CTO PCI and can these be anticipated and results optimized?
What does the future hold for those with symptomatic chronic coronary occlusions?

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Podcast episode transcript found here.