I. Benedek¹, Gabriela Kozma¹, Monica Chitu¹, I. Kovacs², A. Sârbu², Melinda Kurtinecz¹, Claudia Matei¹, Zsuzsanna Suciu², Diana Horga¹, Sz. Madaras², Theodora Benedek²

¹ Emergency County Hospital Tg Mureș, Cardiology Clinic

² Medicine and  Pharmacy University Tg Mureș, Discipline of Internal Medicine 6

Within the  cardiology community there  continues to be confusion regarding the  indications for percutaneous interventions in patients with chronic total occlusions and  skepticism with regard to  the  ultimate impact revascularization has  on patient outcomes. It is not  surprising that  most interventionists try to avoid these potentially long procedures that  can  be costly and  expose the operator to higher radiation doses; and  with success rates that  are perceived as insufficient to justify the  effort. They  present the  lowest procedural suc- cess rates, highest X-ray exposure times and  higher risks  for complications and  re-occlusion. Our  casuistry shows that  association of different techniques can  lead  to repermeabilisation of chronic total occlusion with good patency rates.