The hybrid approach to intervention of chronic total occlusions

Bavana V. Rangan, Anna Kotsia, George Christopoulos, James Spratt, Stephane Rinfret, Subhash Banerjee, Emmanouil S. Brilakis

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The “hybrid” approach to chronic total occlusion (CTO) percutaneous coronary intervention (PCI) was developed to provide guidance on optimal crossing strategy selection. Dual angiography remains the cornerstone of clinical decision making in CTO PCI. Four angiographic parameters are assessed: (a) morphology of the proximal cap (clear-cut or ambiguous); (b) occlusion length; (c) distal vessel size and presence of bifurcations beyond the distal cap; and (d) location and suitability of a retrograde conduit (collateral channels or bypass grafts) for retrograde access. Antegrade wire escalation is favored for short (

Original languageEnglish (US)
Pages (from-to)299-304
Number of pages6
JournalCurrent Cardiology Reviews
Volume11
Issue number4
StatePublished - Nov 1 2015

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Percutaneous Coronary Intervention
Angiography
Transplants
Clinical Decision-Making

Keywords

  • Chronic total occlusion
  • Percutaneous coronary intervention
  • Retrograde

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Rangan, B. V., Kotsia, A., Christopoulos, G., Spratt, J., Rinfret, S., Banerjee, S., & Brilakis, E. S. (2015). The hybrid approach to intervention of chronic total occlusions. Current Cardiology Reviews, 11(4), 299-304.

The hybrid approach to intervention of chronic total occlusions. / Rangan, Bavana V.; Kotsia, Anna; Christopoulos, George; Spratt, James; Rinfret, Stephane; Banerjee, Subhash; Brilakis, Emmanouil S.

In: Current Cardiology Reviews, Vol. 11, No. 4, 01.11.2015, p. 299-304.

Research output: Contribution to journalArticle

Rangan, BV, Kotsia, A, Christopoulos, G, Spratt, J, Rinfret, S, Banerjee, S & Brilakis, ES 2015, 'The hybrid approach to intervention of chronic total occlusions', Current Cardiology Reviews, vol. 11, no. 4, pp. 299-304.
Rangan BV, Kotsia A, Christopoulos G, Spratt J, Rinfret S, Banerjee S et al. The hybrid approach to intervention of chronic total occlusions. Current Cardiology Reviews. 2015 Nov 1;11(4):299-304.
Rangan, Bavana V. ; Kotsia, Anna ; Christopoulos, George ; Spratt, James ; Rinfret, Stephane ; Banerjee, Subhash ; Brilakis, Emmanouil S. / The hybrid approach to intervention of chronic total occlusions. In: Current Cardiology Reviews. 2015 ; Vol. 11, No. 4. pp. 299-304.
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