Definition: A clad coin is one that has multiple layers of metal in it; most current U.S. clad coins consist of an inner core of copper, with outer layers of a silver-colored nickel-copper alloy. Examples of this type of clad coin are the U.S. Dime, Quarter, and Half Dollar.
âChronic Total Occlusion Intervention. Chronic total occlusion (CTO) is a complete blockage of a coronary artery that has been in place for 30 days or longer. CTOs are very common, occurring in 15 to 20 percent of patients with significant coronary artery disease. The condition can cause severe angina (chest pain) and lead to a lower quality of life.
Community Treatment Orders (CTO) and Recall. The only person who can recall a CTO patient is the Responsible Clinician (RC). That is, the Approved Clinician (AC) in charge of that CTO patient. This should be a matter of fact, the person having been appointed as such by the detaining authority.The expectation is that this would be done by a protocol (Code of Practice 14.3).The recall must be in writing (handed directly to the patient, put through their letter box or posted, first class, to their last known address). Recall does not have to be to the same hospital, or group of hospitals, as manage the CTO.he expectation is that this would be done by a protocol (Code of Practice 14.3). The recall must be in writing (handed directly to the patient, put through their letter box or posted, first class, to their last known address).