Retrograde coronary interventions of chronic total occlusions

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Advances in Retrograde Technique for Coronary Chronic Total Occlusions

Despite a short lag period since its development the retrograde approach has been increasingly integrated within the treatment strategies for the percutaneous treatment of coronary chronic total occlusions. This review article discuss which anatomical features argue most powerfully for its use, the specific skills required for its uptake and the technology which has facilitated these developments.

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Transradial approach for percutaneous coronary interventions on chronic total occlusions

The transfemoral approach is the standard approach for performing chronic total occlusion procedures. However, hemorrhagic and vascular entry site complications are known to be reduced by the adoption of the transradial approach. Thus, the transradial approach is gaining interest and, facilitated by the improvement of materials and techniques, will be applied in procedures previously considered...

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[Retrograde angioplasty: an option for total coronary artery occlusions].

The safety and effectiveness of angioplasty for chronic total occlusions of the coronary arteries have been demonstrated in several studies, but the success rate is less than for conventional interventions. The complexity of the procedures presents a major challenge. In selected cases, performing angioplasty of the occlusion via a retrograde approach has been used as an alternative. We present ...

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Percutaneous Coronary Intervention for Chronic Total Occlusions

I mpasses are common in everyday life. When they occur in coronary arteries as chronic total occlusions (CTOs), they may be difficult to treat. Successful treatment of CTOs sometimes requires a nonconformist approach based on “negative thinking,” which is described in philosophical circles as the mindset that “negates” the possibility of failure and replaces it with the potentiality of success ...

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Microvascular dysfunction in chronic total coronary occlusions.

BACKGROUND Microvascular dysfunction is defined as reduced coronary flow reserve in the absence of an epicardial stenosis. This study determined its prevalence and relation to regional myocardial function in chronic total coronary occlusions (TCO). METHODS AND RESULTS After recanalization and stenting of a TCO (duration, >4 weeks) in 42 patients, coronary flow velocity reserve (CFVR) was meas...

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ژورنال

عنوان ژورنال: Heart

سال: 2005

ISSN: 1355-6037

DOI: 10.1136/hrt.2006.091520