Jake suffered from chronic total occlusion (CTO), which made the vessels of his heart completely blocked. After open-heart surgery, and then medical management, Jake still had symptoms. After his minimally invasive percutaneous coronary intervention (PCI) procedure, Jake felt the relief that he had been looking for. If your doctor has prescribed medicine for your CAD and you are still not feeling like your best self, you may be eligible for a minimally invasive PCI procedure.