Procedure planning: anatomical determinants of strategy.
In contemporary practice there are three main methods that can be employed when attempting to open a chronic total occlusion (CTO) of a coronary artery; antegrade or retrograde wire escalation, antegrade dissection re-entry and retrograde dissection re-entry. This editorial will attempt to clarify the anatomical features that can be identified to help when deciding which of these strategies to employ initially and help understand the reasons for this decision.
Colm
C
Hanratty
Department of Cardiology, Belfast Health and Social Care Trust, Lisburn Road, Belfast. N Ireland. BT9 7AB, Ireland. cghanratty@hotmail.com.
Simon
S
Walsh
D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000628:therapy*; D023903:Coronary Restenosis; D003331:Coronary Vessels / Q000033:anatomy & histology*; D006801:Humans; D016896:Treatment Outcome