Open AccessRetrograde Percutaneous Intervention of Chronic Total Occlusion Step by Step
Author(s) -
V. Suryaprakasa Rao
Publication year - 2022
Publication title -
indian journal of cardiovascular disease in women
Language(s) - English
Resource type - Journals
eISSN - 2835-4982
pISSN - 2455-7854
DOI - 10.1055/s-0041-1740353
Subject(s) - medicine , collateral circulation , occlusion , percutaneous , intravascular ultrasound , surgery , intervention (counseling) , radiology , percutaneous coronary intervention , psychiatry , myocardial infarction
Retrograde approach for chronic total occlusion percutaneous intervention is the ultimate technique for success in cases of high Japan-CTO (JCTO) score, ostial locations, long calcific lesions with calcium, and in retry cases. There are various methods of collateral cross, reverse controlled antegrade and retrograde tracking, and externalization, which are practiced by various experts. Intravascular ultrasound-guided procedures will minimize complications and increase chances of stent optimization for better outcomes.