TCTAP C-064 Complete Revascularization of Triple Vessel Disease Including Two Chronic Total Occlusions with Rotational Atherectomy and Retrograde Techniques

Anterograde techniques for percutaneous revascularization of chronic total coronary occlusions

Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) remains one of the major challenges in interventional cardiology. Successful recanalization of a CTO can reduce anginal symptoms, reduce the need for coronary artery bypass surgery and increase long-term survival [1–3]. Approximately 30–40% of patients with coronary artery disease are shown at angiography to have at le...

Debulking Of Chronic Total Occlusions With Rotational Atherectomy Before Stenting (DOCTORS): A Prospective Multicenter Pilot Study

The Application of Rotational Atherectomy in PCI of Coronary Chronic Total Occlusions

Objective: The aim of the study is to investigate the effi cacy, complication rate and predictors of rotational atherectomy (RA) usage after successful guidewire crossing during percutaneous coronary intervention (PCI) of coronary chronic total occlusion (CTO). Methods: A single center experience of 525 consecutive patients from October 2010 to June 2014. A total of 587 CTO lesions were treated...

Coronary perforation during balloon anchoring after rotational atherectomy of chronic total occlusion of coronary vessel

An 87-year-old Asian male experienced progressive shortness of breath for two days. He presented symptoms and signs of decompens-ated heart failure and was diagnosed as non ST-segment elevation myocardial infarction, killip III. Coronary intervention was performed for chronic total occlusion of left anterior descend-ing artery. Unfortunately, coronary perforation happened during balloon anchori...

Percutaneous laser revascularization in patients with chronic total occlusions.

As clinical investigators of the percutaneous myocardial revascularization (PMR) device, we read with interest “A Prospective, Multicenter, Randomized Trial of Percutaneous Transmyocardial Laser Revascularization in Patients With Nonrecanalizable Chronic Total Occlusions” (PMR-CTO trial) by Stone and colleagues (1). Based upon the lack of available follow-up data and objective evidence, we do n...