Some coronary intervention cases require techniques and experience beyond routine PCI. Chronic total occlusions, complex calcified lesions, failed previous PCI, high risk coronary intervention, and difficult anatomy may benefit from review by an experienced complex PCI specialist.
A referral can be particularly useful when a previous CTO PCI attempt has failed, when the anatomy makes conventional antegrade crossing difficult, or when the patient has been considered unsuitable for routine PCI or surgery.
Before referring a complex case, the most useful information typically includes the patient's clinical summary, relevant CTO specialist referral investigations, and coronary angiographic images. Reviewing the complete case allows the specialist to understand the anatomy and determine whether an advanced intervention strategy may be appropriate.
CTOMD provides a referral pathway for cardiologists and physicians managing complex coronary cases. Doctors can share an angiogram and brief clinical summary with the CTOMD team to begin a specialist review.
The practice covers CTO PCI, complex high risk PCI, failed prior PCI, left main PCI, calcified lesion intervention, retrograde CTO PCI, ADR and K14 techniques, peripheral vascular interventions, and structural heart procedures.