Retrograde Approach to Chronic Total Occlusion Percutaneous Coronary Intervention

Michael Megaly, Iosif Xenogiannis, Nidal Abi Rafeh, Dimitri Karmpaliotis, Stephane Rinfret, Masahisa Yamane, M. Nicholas Burke, Emmanouil S. Brilakis

Research output: Contribution to journalReview articlepeer-review

26 Scopus citations

Abstract

The retrograde approach has increased the success rate of chronic total occlusion percutaneous coronary intervention but has also been associated with a higher risk of complications. The retrograde approach is usually performed in complex lesions, in which the antegrade approach is not feasible or has failed previously. Using a systematic 10-step approach can maximize the likelihood of success and minimize the risks of retrograde chronic total occlusion interventions.

Original languageEnglish (US)
Article numbere008900
JournalCirculation: Cardiovascular Interventions
Volume13
Issue number5
DOIs
StatePublished - May 1 2020
Externally publishedYes

Keywords

  • angioplasty, balloon, coronary
  • chronic total occlusion
  • percutaneous coronary intervention
  • retrograde approach
  • saphenous vein

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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