Chronic total occlusion percutaneous coronary intervention: 2026 update - PubMed
a day ago
- #cardiology
- #PCI
- #chronic total occlusion
- Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) is evolving with improvements in strategy, imaging, and equipment.
- Technical success rates exceed 90% in expert centers, reducing angina and dyspnea long-term.
- Radiation exposure has decreased due to equipment upgrades and operator awareness.
- Procedural refinements include coronary computed tomography, intravascular ultrasound, hydrodynamic contrast recanalization, novel retrograde techniques, and AI-based tools.
- Ongoing randomized trials and large-scale registries aim to refine CTO PCI strategies.