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Penetration of total occlusion

Try out PMC Labs and tell us what you think. Learn More. Until recently, the patients with CTO are often managed surgically or medically due to lack of published evidence of clinical benefits and lower success rate of percutaneous recanalization of CTO. However, the introduction of enhanced guidewires, microcatheters combined with novel specialized devices and techniques reduce the number of unapproachable CTO. In this review article, current techniques and devices of percutaneous recanalization of CTO have been systematically summarized, which may help budding interventional cardiologists to theoretically understand these complex procedures and to deliver safe and effective percutaneous management of CTO to the patients. Acute myocardial infarction and sudden cardiac death are the leading cause of mortality in adults worldwide.
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Antegrade Chronic Total Occlusion Strategies: A Technical Focus for | ICR Journal

A question came from one of our cath lab staff, who asked if we could describe how chronic total occlusion CTO percutaneous coronary intervention PCI is done and what the options are for a successful procedure. Arnold Seto and I thought we could provide a primer on the techniques, indications, complications, and clinical benefits for the lab staff. The crossing strategies for CTO PCI will be summarized in a simplified form to enhance our understanding of this significant technical advance in coronary intervention. There are several good references for more in-depth understanding in the suggested readings. Increased CTO success comes with experience and use of novel equipment and techniques, as well as comprehensive training in high-volume CTO centers. New as well as experienced operators can increase their success through continued education, live case workshops, and proctoring.
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Objective : We present a new technique called balloon-assisted penetration technique for intraluminal crossing of chronic total occlusion of the subclavian artery. Case presentation : A year-old man was diagnosed as vertebrobasilar insufficiency due to the left subclavian artery occlusion. Via the transbrachial approach, balloon guiding catheter was positioned near the distal cap of the occluded segment and the balloon was inflated gently to fix against the vessel wall. The micro-guidewire was penetrated through the distal cap and crossed the true lumen of the occluded segment. Stenting was performed successfully without any complications.
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This open-access and indexed, peer-reviewed journal publishes articles ideal for the busy physician. Calum Creaney. Simon J Walsh.
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