PERCUTANEOUS CORONARY INTERVENTION IN CHRONIC TOTAL OCCLUSION (CTO)

CASE REPORT OF HIGH-RISK CORONARY INTERVENTION

Abstract

High-risk percutaneous coronary intervention (CHIP-PCI) refers to targeted percutaneous revascularization for patients with extensive coronary artery disease (CAD). It requires a skill set, personnel, equipment and logistical support beyond fabrication for conventional PCI. PCI in chronic total occlusion (CTO) is an expanding field of interventional cardiology. Despite this, an ICP-CTO corresponds to only 10% of the total number of procedures. The guidelines recommend that current CTO PCI should be considered for reduction of blood in the corresponding myocardial territory and/or for reduction of angina. In this paper, we describe a case of a CHIP-PCI in a symptomatic coronary artery disease patient with the protective device in case of comorbidities and high PC at surgical risk.