The retrograde approach and innovative techniques in percutaneous coronary intervention for chronic total occlusions aim to improve upon historical technical success rates of 50-70%.
Coronary chronic total occlusion (CTO) is a frequent finding in patients with coronary artery disease. It remains one of the most challenging subsets, accounting for 10-20% of all percutaneous coronary interventions (PCI). Although remarkable progress in PCI has been made, it is reasonable to state that successful recanalization of CTO represents the “last frontier" of PCI. PCI of CTOs has been limited historically by technical success rates of 50-70%. The introduction of enhanced guidewires, microcatheter, channel dilatator with increasing operator experience, and innovative techniques such as the retrograde approach have raised hopes for better outcomes. This article goes into depth into various strategies of retrograde approach in CTO.
Debabrata Dash (Wed,) conducted a review in Coronary chronic total occlusion (CTO). Retrograde approach was evaluated. The retrograde approach and innovative techniques in percutaneous coronary intervention for chronic total occlusions aim to improve upon historical technical success rates of 50-70%.