Procedure Planning: Anatomical Determinants of Strategy
Current Cardiology Reviews,
Colm Hanratty and Simon WalshAffiliation:
Department of Cardiology, Belfast Health and Social Care Trust, Lisburn Road, Belfast. N Ireland. BT9 7AB, Ireland.
AbstractIn contemporary practice there are three main methods that can be employed when attempting to open a chronic total occlusion (CTO) of a coronary artery; antegrade or retrograde wire escalation, antegrade dissection re-entry and retrograde dissection re-entry. This editorial will attempt to clarify the anatomical features that can be identified to help when deciding which of these strategies to employ initially and help understand the reasons for this decision.
Antegrade dissection re-entry, chronic total occlusion, hybrid algorithm, percutaneous coronary intervention.
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