Tips & tricks of antegrade technique for chronic total occlusions

Why and how we perform CTO PCI

The definition of chronic total occlusion (CTO) lesions and percutaneous coronary intervention (PCI) indications for CTO have recently been summarised as a consensus document, which is a highly recommended read to update our knowledge on the current status of CTO interventions 11. Galassi AR, Werner GS, Boukhris M, Azzalini L, Mashayekhi K, Carlino M, Avran A, Konstantinidis NV, Grancini L, Bryniarski L, Garbo R, Bozinovic N, Gershlick AH, Rathore S, Di Mario C, Louvard Y, Reifart N, Sianos G. Percutaneous Recanalization of Chronic Total Occlusions: 2019 Consensus Document from the EuroCTO Club. EuroIntervention 2019 Jan 15. Link. A recent randomised trial has suggested that a primary benefit of successful PCI is symptomatic relief of ischaemia compared to optimal medical treatment 22. Werner GS, Martin-Yuste V, Hildick-Smith D, Boudou N, Sianos G, Gelev V, Rumoroso JR, Erglis A, Christiansen EH, Escaned J, di Mario C, Hovasse T, Teruel L, Bufe A, Lauer B, Bogaerts K, Goicolea J, Spratt JC, Gershlick AH, Galassi AR, Louvard Y; EUROCTO trial investigators. A randomized multicentre trial to compare revascularization with optimal medical therapy for the treatment of chronic total coronary occlusions. Eur...