PCI better than medical therapy in stable Angina with coronary total occlusion

prof .DRRAM,HIV /AIDS,HEPATITIS ,SEX DISEASES & WEAKNESS expert,New Delhi,India, profdrram@gmail.com,+917838059592,+919832025033,ON WHATSAPP

The Massachusetts General Hospital Corrigan Minehan Heart Center offers a highly advanced innovative approach to treat patients with chronic total occlusion, called chronic total occlusion percutaneous coronary intervention (CTO PCI). CTO PCI is a minimally invasive technique used to treat patients with chronic total occlusion (CTO), or complete blockages, of the coronary arteries.

CTOs are blockages that have typically been present for more than three months. These blockages are a result of severe build-up of fatty deposits or plaque within the arteries (atherosclerosis) and are one of the complications from coronary artery disease (CAD). CAD occurs when the artery or arteries that supply blood to the heart become narrowed or blocked because of atherosclerosis. When the heart does not receive enough blood, a person may have chest pain (angina), shortness of breath or a heart attack. 

Treatment options for CTO have traditionally been limited due to the complexity of opening up completely blocked arteries using catheter-based techniques.This procedure bring better result than patients treated by medical therapy only. Historically, physicians often recommended coronary artery bypass grafting (CABG), or open-heart surgery, as the only option for treating these blockages. During this surgery, a vein or artery from another part of the body is taken to create a new route to the coronary artery, bypassing the blocked area and allowing a path for blood flow. Some patients, however, may not be candidates for CABG surgery due to high surgical risk. In other cases, some patients may not require CABG and could benefit from stenting using CTO PCI techniques. During a stenting procedure, a small mesh tube is placed in narrow or blocked arteries to widen and support the walls of the arteries and restore blood flow.