CHIP and CTO Program at The Christ Hospital

Chronic Total Occlusion (CTO)

Chronic total occlusion is a type of heart disease where an artery that supplies blood to the heart becomes completely blocked by plaque.

Without enough blood flow, the heart does not receive the oxygen and nutrients it needs to function properly.

CTO image.JPG

Symptoms of chronic total occlusion

graphic highlights one in five people to represent how common CTOs are in patients with significant coronary artery diseaseCTOs are very common, occuring in as many as 1 in 5 patients with significant coronary artery disease. With successful CTO intervention, patients typically experience immediate and dramatic symptom relief.

If you have a CTO, you may experience:

  • Chest pain or chest tightness (angina)

  • Shortness of breath

  • Fatigue or always feeling tired

Treatment options for chronic total occlusion

If you have been diagnosed with CTO, your doctor may be able to use advanced technology and innovative techniques to restore blood flow.

Historically, people with a CTO would undergo open surgery for a coronoary bypass graft (CABG) surgery to increase blood flow to the heart. However, bypass surgery is not always an option for some patients because of a risk for complications.

Today, CTO is often treated through a minimally invasive technique called percutaneous coronary intervention (PCI) or angioplasty. In this procedure, the blocked artery is opened using balloons and stents.

In recent years, the success rate for CTO PCI has improved to more than 85-90% in expert hands. As Greater Cincinnati's Heart HospitalSM, we are proud to offer a full array of CTO treatment options tailored to your unique needs and sypmtoms.

Schedule an appoinment

If you have been diagnosed with CTO or are concerned about your symptoms, call 513-564-2447 to schedule an appointment.

CTO specialists at The Christ Hospital


Jarrod D. Frizzell, MD Interventional Cardiology, Cardiovascular Disease, Critical Care Medicine
The Christ Hospital Physicians - Heart & Vascular

Primary Location

The Christ Hospital Medical Office Building

2123 Auburn Ave, Suite 136 Cincinnati, OH 452192906 (513) 206-1060
39.1212062 -84.5103696

Areas of Interest

Angiography, Angioplasty, Chronic Total Occlusions (CTO), Complex Coronary Artery Intervention See all
James A. Kong, MD Interventional Cardiology, Cardiovascular Disease
The Christ Hospital Physicians - Heart & Vascular

Primary Location

The Christ Hospital Medical Office Building

2123 Auburn Ave, Suite 136 Cincinnati, OH 452192906 (513) 206-1060
39.1211546 -84.510667

Areas of Interest

Angiography, Angioplasty, Cardiomyopathies, Chronic Total Occlusions (CTO) See all

Complete Coronary Revascularization in Higher-Risk and Indicated Patients Program  

The Christ Hospital Health Network's Complete Coronary Revascularization in Higher-Risk and Indicated Patients (CHIP) program offers treatments that restore blood flow to the heart (coronary revascularization) in high-risk patients. 

Our comprehensive program is dedicated to treating patients with complex coronary artery disease, including:

  • Chronic total occlusion (CTO)

  • Left main disease

  • Multi-vessel coronary artery disease

  • Calcified lesions that need minimally invasive surgery to remove (atherectomy)

  • Bifurcation and trifurcation lesions

The CHIP team also evaluates treatment options for patients who:

  • Have been told they do not qualify for bypass surgery due to risk factors

  • Prefer to avoid open heart surgery

  • Are looking for a second opinion.

For more information or to schedule an appointment call 513-564-2447 (CHIP).

CHIP at The Christ Hospital Health Network

Our care team includes experts in different specialties. They thoroughly evaluate patients facing complex coronary artery disease. Doctors, surgeons, patient coordinators, nurses, and other specially trained staff members work together treat these conditions.

When you or a loved one is referred to The Christ Hospital Health Network's CHIP Program, one of our coordinators will reach out to gather information and help schedule appointments. The coordinator will be by your side throughout the process to ensure you meet treatment goals at every step. 

You will also meet with one of our specially trained physicians. The doctor will talk to you about treatment options based on your medical history and personal preferences. 

A HEART team approach

The Christ Hospital Health Network's CHIP Program team takes a HEART approach to each patient. This means each treatment decision is a collaboration between team members who specialize in different areas of cardiology. Team members meet several times a week to discuss cases and treatment strategies, so each patient receives the most advanced and well-rounded care. 

Our HEART team is made up of specialty-trained experts in cardiology, including:

  • Interventional cardiologists

  • Cardiac surgeons

  • Heart failure physicians

  • Heart transplant physicians

  • Cardiac imaging specialists

  • Electrophysiologists 

HEART collaborative leaders


Cardiothoracic surgery

Dr. Geoffrey Answini 

Heart failure

Dr. Eugene Chung 

Dr. Gregory Egnaczyk 

Cardiovascular intensive care (ICU)

Dr. Timothy Smith

Clinical Research and Education

Dr. Dean Kereiakes