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Safety and feasibility of robotic assisted percutaneous coronary intervention compared to standard percutaneous coronary intervention- a systematic review and meta-analysis. Non-CTO: Not available: AMI within 72 h prior to procedure: After manual crossing of the CTO lesion, switching to R-PCI alleviates any further need for wearing a Dr Emmanouil Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI is Director of the Center for Complex Coronary Interventions at the Minneapolis Heart Institute. Dr Brilakis graduated from Lycee Leonin de Patissia and received his medical degree from the National Kapodistrian University of Athens, Greece. He trained in Internal Medicine, Cardiovascular June 28, 2022—JenaValve Technology, Inc., a developer and manufacturer of transcatheter aortic valve replacement (TAVR) devices, announced results from the first commercial implantations of the Trilogy heart valve system in high-surgical-risk patients with severe symptomatic aortic stenosis (AS) or aortic regurgitation (AR) in Europe. Jun 28 Non-mechanical, aspiration thrombectomy is not reported with 92973, and is included in the PCI code for acute myocardial infarction (92941), when performed (AMA CPT 2018 Professional Edition). Angiography during the procedure, used to monitor the course of the intervention, is considered part of the PCI and is not separately billable to Medicare. Coronary artery perforation is one of the most feared complications of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), as it can lead to pericardial effusion, tamponade, hemodynamic deterioration, need for emergency pericardiocentesis or surgery, or death.1 The incidence of perforation is higher in CTO PCI compared with non-CTO PCI, likely due to higher anatomic Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is evolving rapidly with development of novel equipment and optimization of various treatment algorithms [ 1, 2, 3 ]. At the same time, lesion complexity is increasing, requiring continual adaptation and technique optimization. CTO operators develop several skills that translate in all aspects of non-CTO PCI. CTO PCI can significantly enhance the operator's armamentarium for treating complex lesions. 7. Time availability . Time is needed to attend courses, read, and get proctored. Also early in the learning curve CTO PCI cases can be long, often lasting 2-4 h each. In DECISION CTO study, PCI did not reduce the 4-year risk of MACE. However, nearly 20% of patients in the OMT group crossed over to PCI within 3 days after randomization, and that the study was stopped early due to slow enrolment.4 Moreover, more than 70% of patients had MVD and nearly half of patients in both groups received PCI for non-CTO Chronic total occlusion (CTO) recanalization is among the most complex subsets of coronary interventions. Hence, optimum peri- and postprocedural anticoagulation and antiplatelet therapy is key for the achievement of successful revascularization and reduction of major adverse cardiovascular outcomes in patients undergoing CTO percutaneous coronary intervention (PCI). Chronic total occlusions (CTOs) are a common angiographic finding, accounting for 15% to