Key result
Hybrid, antegrade, retrograde, and dissection-reentry strategies optimize guidewire crossing in CTO PCI.
Why the study?
Percutaneous coronary intervention of chronic total occlusion poses a management dilemma requiring detailed understanding of effective wiring techniques.
This review provides a comprehensive overview of guidewire crossing techniques for chronic total occlusion PCI to promote safe and effective procedures.
Answers are grounded in this paper and cite their sources.
CTO wiring review may refine operator techniques; leaves open evidence-based selection of antegrade versus retrograde approaches.
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.
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Debabrata Dash (2016) conducted a review in Chronic total occlusion (CTO). Guidewire crossing techniques was evaluated. This review explores different guidewire crossing strategies for percutaneous coronary intervention of chronic total occlusions, including antegrade, dissection and reentry, retrograde, and hybrid.
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