Impact of revascularization versus medical therapy alone for chronic total occlusion management in older patients

Background Chronic total occlusions (CTOs) are present in more than one third of older patients with myocardial ischemia, but controversy remains about the best therapeutic approach. Aims To compare long‐term survival after CTO revascularization (percutaneous coronary intervention [PCI] or coronary...

Full description

Saved in:
Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2019-10, Vol.94 (4), p.527-535
Main Authors: Flores‐Umanzor, Eduardo Josué, Vázquez, Sara, Cepas‐Guillen, Pedro, Ivey‐Miranda, Juan, Caldentey, Guillem, Jimenez‐Britez, Gustavo, Regueiro, Ander, Freixa, Xavier, Andrea, Rut, Ferreira‐González, Ignacio, Sabaté, Manel, Martin‐Yuste, Victoria
Format: Article
Language:English
Subjects:
Age
chronic total occlusion
chronic total occlusion revascularization
Coronary artery
Creatinine
Ejection
Heart
Heart surgery
Ischemia
Medical treatment
Mortality
Myocardial ischemia
Occlusion
older patients
Patients
Ventricle
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Chronic total occlusions (CTOs) are present in more than one third of older patients with myocardial ischemia, but controversy remains about the best therapeutic approach. Aims To compare long‐term survival after CTO revascularization (percutaneous coronary intervention [PCI] or coronary artery bypass graft [CABG]) versus medical treatment (MT) alone in patients aged 75 and older. Methods and results A total of 1,252 consecutive patients with at least one CTO were identified from 2010 to 2014 in our center. Patients were stratified by age (
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.28163