Development of a high‐volume, multiple‐operator program for percutaneous chronic total coronary occlusion revascularization: procedural, clinical, and cost‐utilization outcomes

Following initiation of a dedicated program with implementation of quality and performance guidelines, complex CTO revascularization may be safely performed with outcomes comparable with reports from established centers. Despite higher resource utilization, CTO revascularization is associated with a positive contribution margin. Requirement of educational and performance standards, mentorship from experts, consensus review for appropriateness and provision of catheterization laboratory policies may represent a model for program development.