Antegrade techniques for chronic total occlusion percutaneous coronary intervention

被引：2

作者：

Masoomi, Reza ^{[1
]}

Moscardelli, Silvia ^{[1
,2
]}

Hirai, Taishi ^{[3
]}

Azzalini, Lorenzo ^{[1
]}

机构：

[1] Univ Washington, Dept Med, Div Cardiol, Seattle, WA USA

[2] Univ Milan, Milan, Italy

[3] UNIV MISSOURI, Dept Med, Div Cardiol, COLUMBIA, MO USA

来源：

PROGRESS IN CARDIOVASCULAR DISEASES | 2025年 / 88卷

关键词：

chronic total occlusion; antegrade wiring; antegrade dissection/re-entry; SUBINTIMAL TRACKING; REENTRY TECHNIQUE; ALGORITHM; OUTCOMES; WIRE; REVASCULARIZATION; DISSECTION; IMPACT;

D O I：

10.1016/j.pcad.2024.07.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Antegrade techniques are the foundation of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Antegrade wiring with the intent to achieve an intraplaque guidewire tracking is not always feasible, and crossing into the extraplaque space with subsequent reentry (antegrade dissection and reentry), might be needed, particularly in more complex occlusions. The present article reviews in detail the antegrade approaches to CTO PCI, focusing on equipment, techniques, and overcoming challenges.

引用

页码：20 / 27

页数：8

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