Chronic Total Occlusion and Left Main Summit

Leading practitioners of percutaneous coronary intervention must become experts at recanalizing chronic total occlusions, and with advanced techniques, success rates greater than 90% may be obtained. Moreover, stenting of the unprotected left main coronary artery has emerged as a viable alternative to surgery in selected patients but requires a special skill set and understanding of anatomy, imaging, hemodynamic support, and adjunctive devices.