TY - JOUR
T1 - An algorithmic approach to balloon-uncrossable coronary lesions
AU - Elrayes, Mahmoud M.
AU - Xenogiannis, Iosif
AU - Nikolakopoulos, Ilias
AU - Vemmou, Evangelia
AU - Wollmuth, Jason
AU - Rafeh, Nidal Abi
AU - Karmpaliotis, Dimitri
AU - Gasparini, Gabriele L.
AU - Burke, Martin Nicholas
AU - Brilakis, Emmanouil S.
N1 - Funding Information:
Dr. Elrayes: nothing to disclose. Dr. Xenogiannis: nothing to disclose. Dr. Nikolakopoulos: nothing to disclose. Dr. Vemmou: nothing to disclose. Dr. Wollmuth: Proctor/speaker/medical advisory board for Abbott Vascular, Boston Scientific and Abiomed. Proctor for Asahi. Medical advisory board with Phillips. Dr. Abi Rafeh: Proctor/consultant for Boston Scientific, Abbott and Shockwave medical. Dr. Karmpaliotis: Honoraria: Boston Scientific, Abbott Vascular, Abiomed. Equity: Saranas, Soundbite, Traverse Vascular. Dr. Gasparini: nothing to disclose. Dr. Burke: Shareholder: Egg Medical and MHI Ventures. Speaker: Opsens Medical. Dr. Brilakis: consulting/speaker honoraria from Abbott Vascular, ACIST, American Heart Association (associate editor Circulation), Amgen, Asahi, Cardiovascular Innovations Foundation (Board of Directors), CSI, Elsevier, GE Healthcare, and Medtronic; research support from Boston Scientific and Osprey. Shareholder: MHI Ventures. Board of Trustees: Society of Cardiovascular Angiography and Interventions.
Publisher Copyright:
© 2020 Wiley Periodicals LLC.
PY - 2021/5/1
Y1 - 2021/5/1
N2 - Balloon uncrossable coronary lesions are lesions that cannot be crossed with a balloon after successful guidewire crossing. The strategies used to facilitate the treatment of such lesions can be classified into strategies that provide lesion modification and strategies that increase support. We describe a systematic, algorithmic approach to treat balloon uncrossable lesions, starting with use of small balloons, followed by increase in guide catheter support, use of microcatheters, wire cutting or puncture techniques, laser, atherectomy, and subintimal modification techniques. Sequential and simultaneous application of the aforementioned techniques can result in successful treatment of these challenging lesions.
AB - Balloon uncrossable coronary lesions are lesions that cannot be crossed with a balloon after successful guidewire crossing. The strategies used to facilitate the treatment of such lesions can be classified into strategies that provide lesion modification and strategies that increase support. We describe a systematic, algorithmic approach to treat balloon uncrossable lesions, starting with use of small balloons, followed by increase in guide catheter support, use of microcatheters, wire cutting or puncture techniques, laser, atherectomy, and subintimal modification techniques. Sequential and simultaneous application of the aforementioned techniques can result in successful treatment of these challenging lesions.
KW - CTO
KW - PCI
KW - atherectomy
KW - balloon-uncrossable
KW - laser
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U2 - 10.1002/ccd.29215
DO - 10.1002/ccd.29215
M3 - Article
C2 - 32865855
AN - SCOPUS:85089978087
SN - 1522-1946
VL - 97
SP - E817-E825
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 6
ER -