Complex Interventional Cardiology

Which patients benefit from Complex High-Risk Interventional Procedures (CHIP) Indications?

• Complex Coronary Anatomy: Left main coronary artery, bifurcations and multivessel disease, CTOs, bypass grafts, severe calcification, and in-stent restenosis
• Severe Comorbidities: Conditions that increase surgical risk
• Failed Previous Interventions: Instances where prior treatments did not yield successful results

Chronic Total Occlusions (CTO) Treatment Considerations

Treating CTOs is highly complex and requires specialized skills.

• Advanced Techniques: Utilizing state-of-the-art technologies and interventional strategies to treat CTOs
• High-Risk Patient Management: Managing patients who are at an elevated risk due to the complexity of their condition
• Minimized Complications: Ensuring that the interventions are as safe and effective as possible, with a focus on reducing the risks of complications during and after treatment

Who should be referred to the program?

• Patients experiencing high symptom burden (e.g. chest pain, dyspnea, decreased exercise tolerance)
• Patients with known ischemia as indicated by stress testing
• Patients deemed as high-risk or non-revascularizable by other interventional cardiologists

Benefits to the patient

• Symptom Relief: Many patients report a reduction in chest pain and improved breathing.
• Enhanced Quality of Life: Post-procedural outcomes show significant improvements in overall quality of life metrics.
• Improved Left Ventricular Function: Successful interventions can lead to better cardiac function and overall health.

---