Description

Chronic Total Occlusion

Guest: Abhiram Prasad, M.D.

Host: Paul Friedman, M.D.

Chronic total occlusions are frequently encountered and are associated with complex coronary artery disease and diffuse atherosclerosis. Percutaneous coronary intervention is a suitable option for relieving angina in select patients who remain symptomatic despite optimal medical therapy. Success rates of over 80% can be routinely achieved by CTO operators with MACE rates of less than 5%.

Topics Discussed:

• Who is the ideal patient for CTO PCI?
• Which practices in CTO PCI maximize success and minimize risk?
• Is there a role of viability testing when evaluating patients for CTO PCI?
• Is there a role for non-culprit CTO PCI for complete revascularization post AMI?
• Is there any new clinical trial data for CTO PCI?
• Are there any new devices for CTO PCI?

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on X: @MayoClinicCV 

LinkedIn: Mayo Clinic | LinkedIn

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

Podcast episode transcript found here.

Recorded on: 14-April-2026