A completely blocked coronary artery can be difficult to treat, particularly when a previous angioplasty has failed or bypass surgery is considered too risky. Chronic Total Occlusion, commonly called CTO, refers to a coronary artery that has been completely blocked for an extended period.

CTO PCI is a specialised form of coronary intervention used to reopen these complex blockages. Unlike routine angioplasty, CTO procedures may require advanced techniques and careful planning based on the location, length, and complexity of the blockage.

Patients seeking chronic total occlusion treatment in India may benefit from an evaluation by a specialist with extensive experience in complex coronary intervention. A detailed review of the angiogram can help determine whether CTO PCI is appropriate and which treatment strategy may be suitable.

There are several approaches that may be considered during CTO PCI, including antegrade, retrograde, and hybrid strategies. The appropriate approach get more info depends on the individual anatomy and characteristics of the blockage.

A second opinion can be particularly useful when a patient has previously been told that the artery cannot be opened, that bypass surgery is the only option, or that another angioplasty attempt would be too difficult.

Dr. Arun Kalyanasundaram is a Cleveland Clinic trained CTO PCI specialist in India with more than 2,500 CTO procedures. He works with complex and previously unsuccessful coronary cases and accepts referrals from patients and physicians across India and internationally.

CTOMD also provides a remote second opinion pathway where patients can submit their angiogram and medical reports for specialist assessment. A written report is provided within 2 to 3 business days according to the current service information.

For patients considering CTO PCI, the most important first step is obtaining an expert assessment of the coronary anatomy and understanding which treatment options may be appropriate.

Explore CTO PCI and complex coronary treatments:

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