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Electrocautery-Facilitated CTO-PCI

Video Supplement to “Electrocautery-Facilitated Crossing (ECFC) of Chronic Total Occlusions,” by Neupane, et al.

Little is reported about the use of electrocautery (EC) in lesion crossing during CTO-PCI. We report a case series of EC-facilitated CTOs where we utilized stiff, high tip-load, and tapered guidewires energized with EC to facilitate wire crossing of wire-uncrossable CTOs. Two patients are highlighted in the following video series.