BCIS ACI 2020: Is CTO PCI a waste of time and money? — Dr Mark Gunning

Dr Mark Gunning (University Hospital of North Midlands, Stoke-on-Trent, UK) discusses the cost-effectiveness and efficacy of percutaneous coronary intervention for chronic total occlusion (CTO PCI).

Questions:
 
1. Which patients should be considered for CTO PCI and which should be referred to surgery? 
2. Why is there a debate as to whether CTO PCIs are cost-effective? 
3. What is your opinion on this matter? 
4. Does the type of CTO technique influence the cost-effectiveness? 
5. What is needed to silence the naysayers? 
 

Filmed in London at BCIS ACI 2020.

Interviewer: Mirjam Boros 
Videographer: Natacha Wienand / Dominic Woodruff