Guidewire crossing techniques in coronary chronic total occlusion intervention: A to Z.
Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) poses a management dilemma for the interventional cardiologist. Effective wiring technique is the key to success of PCI in CTO, which requires more patience and skill of the operator. The author herein intends to explore in detail the different wiring strategies such as antegrade approach, dissection and reentry, retrograde and hybrid approach. Hopefully, this review would enhance the understanding of this complex procedure and, consequently, promote safe and effective PCI.
Interventional Cardiologist, S. L Raheja (A Fortis Associate) Hospital, Nanavati Superspeciality Hospital, Mumbai, India(1); Guest Professor of Cardiology, Beijing Tiantan Hospital, Beijing, China. Electronic address: dr_dash2003@yahoo.com.
Debabrata
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Dash
D002908:Chronic Disease; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
Antegrade approach; Chronic total occlusion; Dissection and reentry; Percutaneous coronary intervention; Retrograde approach