Chronic Total Occlusion Interventions: Update on Current Tips and Tricks

Peter Tajti, Iosif Xenogiannis, Dimitris Karmpaliotis, Khaldoon Alaswad, Farouc A. Jaffer, M. Nicholas Burke, Imre Ungi, Emmanouil S Brilakis

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Purpose of Review: To summarize novel techniques and developments in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Recent Findings: Using an algorithmic, step-by-step approach can help overcome several complex CTO lesions subsets, such as proximal cap ambiguity, ostial location, in-stent occlusion, bifurcations, balloon uncrossable and undilatable lesions. Similarly, an algorithmic approach can help prevent and optimally treat CTO PCI-related complication, such as perforation, radiation, and contrast-induced nephropathy. Summary: Continual update and reassessment of each operator’s algorithm for performing CTO PCI can lead to improved outcomes.

Original languageEnglish (US)
Article number141
JournalCurrent Cardiology Reports
Issue number12
StatePublished - Dec 1 2018


  • Chronic total occlusion
  • Complex coronary interventions
  • Percutaneous coronary intervention
  • Techniques

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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