Carlino to the rescue: Use of intralesion contrast injection for bailout antegrade and retrograde crossing of complex chronic total occlusions

Suwetha Amsavelu, Mauro Carlino, Emmanouil S. Brilakis

Research output: Contribution to journalArticle

6 Scopus citations


Percutaneous coronary intervention (PCI) of coronary chronic total occlusions (CTO) can be challenging. Although several crossing techniques are available, in some cases their application fails to cross the occlusion. Carlino et al. have pioneered the technique of hydraulic microdissection by contrast injection through a microcatheter inserted into the lesion. We report two CTO PCI cases in which the use of the Carlino technique enabled success after other crossing strategies failed to cross the occlusion.

Original languageEnglish (US)
Pages (from-to)1118-1123
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Issue number6
StatePublished - May 1 2016



  • balloon angioplasty
  • coronary artery disease
  • primary PCI

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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