scholarly journals Successful treatment of chronic total occlusion of the coronary arteries through the femoral vein: a novel approach

2021 ◽  
Vol 0 (Ahead of Print) ◽  
Author(s):  
Marat Aripov ◽  
Alexey Goncharov ◽  
Ayan Abdrakhmanov ◽  
Philip la Fleur

Despite the vessel’s inaccessibility to dual coronary angiography and the use of classical routes for retrograde treatment of chronic total occlusion (CTO), the approach through the femoral vein and subsequent transseptal puncture with catheterization of ostium of coronary arteries is a viable treatment approach.

Author(s):  
C. Raghu ◽  
Rahul K. Ghogre ◽  
Alekhya Mandepudi

AbstractChronic total occlusion (CTO) is a common challenge accounting for 10% of coronary lesions found on coronary angiography. Patients are frequently referred for bypass surgery because percutaneous coronary intervention is challenging in this subset. Recent advances in the hardware as well as the technical expertise and an algorithm approach have improved the success to more than 90%.Antegrade approach is the cornerstone for managing CTO and has two distinct strategies: antegrade wire escalation, and antegrade dissection and reentry strategy. Step-wise approach to perform these procedures and the use of adjunct imaging are discussed.


2010 ◽  
Vol 3 (2) ◽  
pp. 155-164 ◽  
Author(s):  
Sudhir Rathore ◽  
Osamu Katoh ◽  
Etsuo Tuschikane ◽  
Akitsugu Oida ◽  
Takahiko Suzuki ◽  
...  

2017 ◽  
Vol 58 (3) ◽  
pp. 351-356 ◽  
Author(s):  
Zehan Huang ◽  
Bin Zhang ◽  
Weilu Chai ◽  
Dunliang Ma ◽  
Hongtao Liao ◽  
...  

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