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1. PCI difficulty
(skills required)
Overall PCI
success rate
(most PCI operators)
Technical improvement and PCI skills
CTO revascularization
Success rate
CTO operators
(minority)
• “Expert” clubs played a key role in standardization and consolidation of
knowledge (J-CTO, EuroCTO, Hybrid Community)
• Success rate with these approaches is around 80-90% in overall CTO population