"Subintimal external crush" technique for a "balloon uncrossable" chronic total occlusion

Georgios Christopoulos, Anna P. Kotsia, Bavana V. Rangan, Minh Vo, Khaldoon Alaswad, Dimitri Karmpaliotis, Subhash Banerjee, Emmanouil S. Brilakis

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Chronic total occlusion (CTO) revascularization is traditionally limited by the challenges related to lesion crossing. In a smaller number of cases, however, inability to advance the balloon catheter to the crossing site can account for recanalization failure ("balloon uncrossable" CTO). We describe a case of a "balloon uncrossable" CTO in which balloon crossing was achieved after subintimal dilation and "external crushing" of the CTO lesion resulting in significant modification of the CTO atheromatous plaque.

Original languageEnglish (US)
JournalCardiovascular Revascularization Medicine
StateAccepted/In press - Jun 22 2016


  • Balloon uncrossable
  • Chronic total occlusion
  • Complications
  • Percutaneous coronary intervention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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