Retrograde Approach to Chronic Total Occlusion Percutaneous Coronary Intervention
Author(s) -
Michael Megaly,
Iosif Xenogiannis,
Nidal Abi Rafeh,
Dimitri Karmpaliotis,
Stéphane Rinfret,
Masahisa Yamane,
M. Nicholas Burke,
Emmanouil S. Brilakis
Publication year - 2020
Publication title -
circulation cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.621
H-Index - 95
eISSN - 1941-7632
pISSN - 1941-7640
DOI - 10.1161/circinterventions.119.008900
Subject(s) - medicine , percutaneous coronary intervention , coronary occlusion , occlusion , percutaneous , cardiology , surgery , myocardial infarction
The retrograde approach has increased the success rate of chronic total occlusion percutaneous coronary intervention but has also been associated with a higher risk of complications. The retrograde approach is usually performed in complex lesions, in which the antegrade approach is not feasible or has failed previously. Using a systematic 10-step approach can maximize the likelihood of success and minimize the risks of retrograde chronic total occlusion interventions.
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