What Is a CTO (Chronic Total Occlusion)?
A CTO is a coronary artery that has been completely blocked for an extended period, often months or years. These blockages are more technically demanding to treat than typical blockages, and some patients are told elsewhere that “nothing more can be done” — which isn’t always the full picture.
Dr. Sharma's Experience With Complex Cases
Dr. Richa Sharma has specific experience managing complex PCI cases, including CTOs, bifurcation lesions, and left main artery disease — procedures that require advanced technique and are not offered at every centre. This complements her broader angioplasty practice and her radial (wrist) approach to coronary procedures.
When a CTO Evaluation Makes Sense
You’ve been told a blockage is “too old” or “too complex” to open
You’re experiencing ongoing symptoms despite medication
You’re seeking a second opinion after being advised bypass surgery as the only option
FAQs
Is CTO treatment riskier than a standard angioplasty?
It’s more technically complex and typically takes longer, but with appropriate experience and equipment, it can be performed safely in suitable candidates.
Can every CTO be treated with angioplasty?
Not every case is suitable — this depends on the specific characteristics of the blockage, which is assessed through detailed imaging and angiography.
What if angioplasty isn’t possible for my CTO?
In some cases, bypass surgery remains the better option. This is exactly the kind of decision worth discussing thoroughly, including through a second opinion if needed.
