This review provides a comprehensive overview of the reverse CART technique for retrograde CTO PCI, detailing its procedural steps, modifications, and potential complications.
May guide reverse CART planning in retrograde CTO PCI; leaves open need for prospective outcome data.
Chronic total occlusion (CTO) is a frequent finding in patients with coronary artery disease and when clinically indicated, remains one of the most challenging subsets for intervention. Although successful recanalization rates of CTO have remained suboptimal in percutaneous coronary intervention, evolving techniques including retrograde approach, have raised hopes for improving the overall success. Reverse controlled antegrade and retrograde subintimal tracking is the most commonly used out of various retrograde approaches. In this review, the author has thrown light on a step-by-step approach of this technique, its standardization, various modifications along with complications.
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Debabrata Dash (2016) studied this question.
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