Key result
New percutaneous approaches, including enhanced guidewires, radiofrequency devices, mechanical vibrating catheters, and biologic enzymes, are improving the success rates of CTO recanalization.
Population
Patients with chronic total occlusion (CTO) of coronary arteries
Design
Review
Authors
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May expand CTO PCI feasibility in experienced centers; leaves open the need for RCTs on long-term outcomes and patient selection.
Advancements in guidewires, procedural techniques, and novel devices are expanding the feasibility and success of percutaneous coronary interventions for chronic total occlusions.
Weisz et al. (2007) conducted a review in Chronic total occlusion of coronary arteries. New percutaneous approaches (enhanced guidewires, Safe-Cross, CROSSER catheter, biologic approaches) was evaluated. New percutaneous approaches, including enhanced guidewires, radiofrequency devices, mechanical vibrating catheters, and biologic enzymes, are improving the success rates of CTO recanalization.
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