Treatments

Chronic Total Occlusion (CTO) Treatments 

Multiple technologies can treat chronic total occlusion (CTO). Patients are first are diagnosed with CTO by using an angiogram to view the walls of their coronary arteries and blood flow. Then, the best course of action is determined.

For many patients with CTO, this means a minimally invasive procedure, a percutaneous coronary intervention (PCI), to reduce or eliminate blockages. In a PCI, a non-surgical procedure, a catheter (a thin flexible tube) is used to place a stent to open up blood vessels in your heart.

During the procedure, the physician, through a small incision near the patient’s groin or wrist, uses tiny specialty wires and other minimally invasive devices, to approach the CTO blockage(s) of your heart. Unlike typical PCI, which includes passing the wire through a narrow opening in the artery, CTO treatment often involves guiding these specialty wires and devices through or around the blockage within the artery wall.

Once wires are in place, conventional PCI techniques are then used: a balloon is inflated to displace the plaque and a stent (small mesh tube) is added to help keep the artery open, normalizing blood flow.

While CTO treatment is more involved and complex than typical PCI, the procedure is still minimally invasive and patients often return home the following day. After the CTO procedure, instead of suffering with lower activity levels and diminished quality of life, patients frequently enjoy a dramatic reduction of symptoms.

Men and women experiencing CTO with symptoms of angina (a type of chest pain caused by reduced blood flow to the heart muscle)—who have an abnormal stress test and continue to be symptomatic despite medical therapy—may be candidates for this specialized treatment.

Treatments

Several advanced, minimally invasive technologies are available for treating chronic total occlusion (CTO).

Six niche centers within the Bluhm Cardiovascular Institute offer patient focused, specialized care, making the Bluhm Cardiovascular Institute a leading destination for both initial diagnoses and second opinions. These niche programs include physicians, nurses and a range of multidisciplinary specialists working with patients to navigate the complex health care system, ensuring continuity of care and a seamless shift from inpatient to outpatient services and ultimately home.

Contact Us
To schedule an appointment or inquire about services at the Bluhm Cardiovascular Institute at Northwestern Memorial Hospital, please call 312.NM.HEART (664.3278).

Cardiovascular Clinical Trials
For information regarding cardiovascular clinical trials:

Referring Physicians
Open communication and cooperation with referring physicians is a critical component of achieving high-quality care and minimizing the challenges that come with treating cardiovascular conditions. For physician-to-physician consultation regarding the best patient care, please contact the Bluhm Cardiovascular Institute at 312.NM.HEART (664.3278).


Six niche centers within the Bluhm Cardiovascular Institute offer patient focused, specialized care, making the Bluhm Cardiovascular Institute a leading destination for both initial diagnoses and second opinions. These niche programs include physicians, nurses and a range of multidisciplinary specialists working with patients to navigate the complex health care system, ensuring continuity of care and a seamless shift from inpatient to outpatient services and ultimately home.

Contact Us
To schedule an appointment or inquire about services at the Bluhm Cardiovascular Institute at Northwestern Medicine Lake Forest Hospital, please call 847.53.HEART (534.3278).

Cardiovascular Clinical Trials
For information regarding cardiovascular clinical trials:


Six niche centers within the Bluhm Cardiovascular Institute offer patient focused, specialized care, making the Bluhm Cardiovascular Institute a leading destination for both initial diagnoses and second opinions. These niche programs include physicians, nurses and a range of multidisciplinary specialists working with patients to navigate the complex health care system, ensuring continuity of care and a seamless shift from inpatient to outpatient services and ultimately home.

Contact Us
To schedule an appointment or inquire about services at the Bluhm Cardiovascular Institute at Northwestern Medicine Central DuPage Hospital or Northwestern Medicine Delnor Hospital, please call 630.232.0280

Cardiovascular Clinical Trials
For information regarding cardiovascular clinical trials: