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With great power comes great responsibility: When and how to use the retrograde approach to chronic total occlusion interventions
Author(s) -
Guddeti Raviteja R.,
Brilakis Emmanouil S.
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29724
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , psychological intervention , coronary occlusion , occlusion , percutaneous , intervention (counseling) , cardiology , surgery , intensive care medicine , myocardial infarction , psychiatry
Key Points The retrograde approach to chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is a powerful tool for successful CTO crossing, especially in complex occlusions. Compared with antegrade‐only CTO PCI, the retrograde approach is associated with increased risk of periprocedural complications. The retrograde approach should be used when the anticipated benefits outweigh the potential risks and should be performed in a meticulous, systematic, and stepwise fashion to maximize the likelihood of success and minimize the risk of complications.