TCTAP C-091 Retrograde Coronary Intervention of RCA

Retrograde Coronary Chronic Total Occlusion Intervention

Coronary chronic total occlusion (CTO) is a frequent finding in patients with coronary artery disease. It remains one of the most challenging subsets, accounting for 10-20% of all percutaneous coronary interventions (PCI). Although remarkable progress in PCI has been made, it is reasonable to state that successful recanalization of CTO represents the "last frontier" of PCI. PCI of CTOs has been...

[Successful recanalisation of RCA CTO using retrograde approach].

A 51-year-old female two years after CABG presented with unstable angina and inferior wall ischaemia. Coronary angiography revealed occluded graft to RCA and chronic total occlusion of RCA with good collateral flow from distal LAD to RCA. The CTO was successfully crossed and dilated through epicardial collaterals from distal LAD (retrograde approach). Finally, antegrade angioplasty with two ste...

Retrograde Approach for Chronic Total Occlusion Percutaneous Coronary Intervention

Large multicenter registries reporting outcomes associated with percutaneous coronary intervention (PCI) for the treatment of chronic total occlusions (CTO) have shown progressively increasing rates of overall procedural success with acceptably low complication rates in highly experienced centers. The significantly enhanced success rates of percutaneous CTO revascularization can be attributed t...

Retrograde perfusion of coronary circulation.

Initial Experience of Retrograde Wire Approach in Coronary Chronic Total Occlusion Intervention

BACKGROUND AND OBJECTIVES Retrograde wire approach has been emerged as a useful tool to enhance success rate in coronary chronic total occlusion (CTO) intervention. Therefore, we tried to report the initial experience of retrograde approach and its clinical implication on CTO intervention. SUBJECTS AND METHODS From February 2007 to July 2008, retrograde approaches were performed in 28 patient...