Retrograde Coronary Chronic Total Occlusion Intervention

Author(s): Debabrata Dash.

Journal Name: Current Cardiology Reviews

Volume 11 , Issue 4 , 2015

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Abstract:

Coronary chronic total occlusion (CTO) is a frequent finding in patients with coronary artery disease. It remains one of the most challenging subsets, accounting for 10-20% of all percutaneous coronary interventions (PCI). Although remarkable progress in PCI has been made, it is reasonable to state that successful recanalization of CTO represents the “last frontier" of PCI. PCI of CTOs has been limited historically by technical success rates of 50-70%. The introduction of enhanced guidewires, microcatheter, channel dilatator with increasing operator experience, and innovative techniques such as the retrograde approach have raised hopes for better outcomes. This article goes into depth into various strategies of retrograde approach in CTO.

Keywords: Chronic total occlusion, percutaneous coronary intervention, retrograde approach.

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Article Details

VOLUME: 11
ISSUE: 4
Year: 2015
Page: [291 - 298]
Pages: 8
DOI: 10.2174/1573403X11666150909110300
Price: $65

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