Published: 14 March 2020
Author(s): Christian Roth, Georg Goliasch, Stefan Aschauer, Clemens Gangl, Mohamed Ayoub, Klaus Distelmaier, Bernhard Frey, Irene M. Lang, Rudolf Berger, Kambis Mashayekhi, Miroslaw Ferenc, Christian Hengstenberg, Aurel Toma
Issue: July 2020
Section: Original article

Chronic total occlusions (CTO) are a common entity in patients with stable coronary artery disease undergoing coronary angiography with a point-prevalence between 15 and 30% [1–3]. CTO revascularization by PCI remains a challenge for the interventional cardiology as it requires special training, risky crossing techniques and special equipment. Therefore it is related to a significant periprocedural risk for the patient [4,5]. Therefore it remains a challenge for the physician to allocate the best treatment strategy encompassing percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), or optimal medical therapy (OMT).

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The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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