Percutaneous coronary intervention by retrograde approach for chronic total occlusion of the proximal left anterior descending artery via a gastroepiploic artery graft

2012 ◽  
Vol 28 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Yoshiaki Mibiki ◽  
Hisashi Kikuta ◽  
Takenori Sumiyoshi ◽  
Muneichi Shibata ◽  
Noboru Osawa
Author(s):  
Michael Megaly ◽  
Iosif Xenogiannis ◽  
Nidal Abi Rafeh ◽  
Dimitri Karmpaliotis ◽  
Stephane Rinfret ◽  
...  

The retrograde approach has increased the success rate of chronic total occlusion percutaneous coronary intervention but has also been associated with a higher risk of complications. The retrograde approach is usually performed in complex lesions, in which the antegrade approach is not feasible or has failed previously. Using a systematic 10-step approach can maximize the likelihood of success and minimize the risks of retrograde chronic total occlusion interventions.


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