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World J Cardiol. Jan 26, 2022; 14(1): 13-28
Published online Jan 26, 2022. doi: 10.4330/wjc.v14.i1.13
Chronic total occlusion revascularization: A complex piece to "complete" the puzzle
Iacopo Muraca, Nazario Carrabba, Giacomo Virgili, Filippo Bruscoli, Angela Migliorini, Matteo Pennesi, Giulia Pontecorboli, Niccolò Marchionni, Renato Valenti
Iacopo Muraca, Nazario Carrabba, Giacomo Virgili, Filippo Bruscoli, Angela Migliorini, Matteo Pennesi, Giulia Pontecorboli, Niccolò Marchionni, Renato Valenti, Cardiovascular Department, Careggi University Hospital, Florence 50134, Italy
Author contributions: Muraca I and Valenti R conceptualization and drafting of the manuscript; Migliorini A, Pennesi M and Pontecorboli G drafting of the manuscript; Virgili G and Bruscoli F creation of graphs, table and bibliographic research; Carrabba N and Marchionni N critical review of the manuscript. All authors approved the content of the manuscript.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Renato Valenti, MD, Chief Doctor, Cardiovascular Department, Careggi University Hospital, Largo Brambilla 3, Florence 50134, Italy. renato.valenti2@tin.it
Received: March 17, 2021
Peer-review started: March 17, 2021
First decision: July 8, 2021
Revised: July 15, 2021
Accepted: December 31, 2021
Article in press: December 31, 2021
Published online: January 26, 2022
Processing time: 307 Days and 8.3 Hours
Core Tip

Core Tip: The application of “contemporary” revascularization strategy in coronary chronic total occlusion percutaneous interventions, allowed a high procedural success rate and to achieve a complete or reasonable incomplete coronary revascularization. From a procedural and clinical management point of view, an improved accuracy in clinical decision making process and a state-of-the-art revascularization, led to a long-term clinical benefit, even in high-risk patients or complex coronary anatomy.