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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2012 October;60(5):461-72

language: English

Retrograde approach for revascularization of coronary chronic total occlusion

Tomasello S. D., Marzà F., Giubilato S., Galassi A. R.

Cardiovascular Interventional Unit, Department of Internal Medicine and Systemic Disease Catheterization Laboratory , Cannizzaro Hospital, University of Catania, Catania, Italy


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Retrograde approach via collateral channels in coronary angioplasty for chronic total occlusion (CTO) can improve recanalization success rate. Most interventionalists will meet few cases where the retrograde approach will provide unequaled advantages, but many are held back from taking retrograde approach by lack of proper equipment and expertise. In this article, we give detailed description of all techniques to traverse the collateral channels, and to cross the CTO by retrograde approach. We also illustrate the difficulties in collateral channel crossing with different examples providing a basic guide for case selection purposes.

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argalassi@virgilio.it