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Chronic Total Occlusion (CTO) Topic Center

Chronic Total Occlusion (CTO)

Aquino-Bruno Figure 2
Clinical Videos
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/14/2025
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel...
01/14/2025
Journal of Invasive Cardiology
Clinical Images
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/13/2025
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Original Contribution
Use of the Ostial Flash Balloon in Aorto-Ostial Chronic Total Occlusion Percutaneous Coronary Intervention
01/13/2025
The authors examined the frequency and outcomes of Ostial Flash balloon use in aorto-ostial chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter contemporary CTO-PCI registry.
The authors examined the frequency and outcomes of Ostial Flash balloon use in aorto-ostial chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter contemporary CTO-PCI registry.
The authors examined the...
01/13/2025
Journal of Invasive Cardiology
Original Contribution
Randomized Comparison of a Gladius First Versus Standard Antegrade Wiring Strategy for Crossing Coronary Chronic Total Occlusions: The Gladius First Trial
12/30/2024
The authors performed a 2-arm randomized controlled trial to compare the time, efficacy and safety outcomes between an antegrade wiring (AW) strategy using a first-choice intermediate tip-load polymer-jacketed guidewire vs an AW strategy...
The authors performed a 2-arm randomized controlled trial to compare the time, efficacy and safety outcomes between an antegrade wiring (AW) strategy using a first-choice intermediate tip-load polymer-jacketed guidewire vs an AW strategy...
The authors performed a 2-arm...
12/30/2024
Journal of Invasive Cardiology
Original Contribution
Artificial Intelligence for Predicting Primary Antegrade Wiring Success of Chronic Total Occlusion Crossing
09/30/2024
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the...
09/30/2024
Journal of Invasive Cardiology
Original Contribution
Outcomes Following Antegrade-Only Versus Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the CCTOP Registry
08/19/2024
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion...
08/19/2024
Journal of Invasive Cardiology
Brief Communication
External Validation of the JR-CTO Score in Retrograde Chronic Total Occlusion Intervention: From the PROGRESS-CTO Registry
08/14/2024
The authors evaluated the JR-CTO score’s performance in patients treated at 44 centers between 2013 and 2024 as part of the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO).
The authors evaluated the JR-CTO score’s performance in patients treated at 44 centers between 2013 and 2024 as part of the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO).
The authors evaluated the JR-CTO...
08/14/2024
Journal of Invasive Cardiology
Original Contribution
Peripheral Artery Disease in Chronic Total Occlusion Percutaneous Coronary Intervention
08/09/2024
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a...
08/09/2024
Journal of Invasive Cardiology
Brief Communication
Guide Catheter Extension Use in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS CTO Registry
07/29/2024
The authors examined the frequency and temporal trends of guide catheter extension use in a large CTO-PCI registry.
The authors examined the frequency and temporal trends of guide catheter extension use in a large CTO-PCI registry.
The authors examined the...
07/29/2024
Journal of Invasive Cardiology
Review
Ten Tips and Tricks for Successful Distal True Lumen Wiring From 3-Dimensional Wiring Experts
06/03/2024

Eugene B. Wu, MD1; Wataru Nagamatsu, MD2; Atsunori Okamura, MD3

Eugene B. Wu, MD1; Wataru Nagamatsu, ...
In this article, the authors provide 10 tips for every chronic total occlusion interventionist to use when performing 3-dimensional wiring in distal true lumen wiring
In this article, the authors provide 10 tips for every chronic total occlusion interventionist to use when performing 3-dimensional wiring in distal true lumen wiring
In this article, the authors...
06/03/2024
Journal of Invasive Cardiology
Original Contribution
Geographic Diversity in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry
05/22/2024

Michaella Alexandrou, MD1; Athanasios Rempakos, MD1; Deniz Mutlu, MD1; Ahmed Al Ogaili, MD1; James W. Choi, MD2; Paul Poommipanit, MD3; Khaldoon Alaswad, MD4; Mir Babar Basir, DO4; Rhian Davies, DO, MS5; Farouc A. Jaffer, MD, PhD6; Raj H. Chandwaney, MD7; Lorenzo Azzalini, MD, PhD, MSc8; Nazif Aygul, MD9; Ahmed M. ElGuindy, MD10; Brian K. Jefferson, MD11; Sevket Gorgulu, MD12; Jaikirshan J. Khatri, MD13; Oleg Krestyaninov, MD14; Dmitrii Khelimskii, MD14; Jarrod Frizzell, MD15; Basem Elbarouni, MD16; Omer Goktekin, MD17; Margaret B. McEntegart, MD18; Bavana V. Rangan, BDS, MPH1; Olga C. Mastrodemos, BA1; M. Nicholas Burke, MD1; Yader Sandoval, MD1; Emmanouil S. Brilakis, MD, PhD1

Michaella Alexandrou, MD1; Athanasios...
The authors analyzed patient and lesion characteristics, techniques, and outcomes in 11 503 CTO-PCI procedures performed in North America and in the combined regions of Europe, Asia, and Africa from 2017 to 2023 as documented in the...
The authors analyzed patient and lesion characteristics, techniques, and outcomes in 11 503 CTO-PCI procedures performed in North America and in the combined regions of Europe, Asia, and Africa from 2017 to 2023 as documented in the...
The authors analyzed patient and...
05/22/2024
Journal of Invasive Cardiology

Videos

Aquino-Bruno Figure 2
Clinical Videos
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/14/2025
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel...
01/14/2025
Journal of Invasive Cardiology
Brilakis preview
Author Interview
Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry: An Interview With Emmanouil S. Brilakis, MD, PhD
04/04/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up...
04/04/2024
Journal of Invasive Cardiology
Brilakis preview
Author Interview
Update on Chronic Total Occlusion Percutaneous Coronary Intervention: An Interview With Emmanouil S. Brilakis, MD, PhD
04/02/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr...
04/02/2024
Journal of Invasive Cardiology
Figure. Case presentation.
Clinical Videos
Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
Video Supplement to "Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery " (Clinical Image).
Video Supplement to "Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery " (Clinical Image).
Video Supplement to "Coronary...
03/04/2024
Journal of Invasive Cardiology
Kaier Video
Video
ADR for Management of Retained Microcatheter Tips During PCI for CTO
11/08/2022
Supplemental Video to "Antegrade Dissection Re-entry for Management Of Retained Microcatheter Tips During PCI For Chronic Total Occlusion: A Case Series," by Kaier et al.
Supplemental Video to "Antegrade Dissection Re-entry for Management Of Retained Microcatheter Tips During PCI For Chronic Total Occlusion: A Case Series," by Kaier et al.
Supplemental Video to "Antegrade...
11/08/2022
Journal of Invasive Cardiology
Bhatt and Brilakis
Video
Incidence, Treatment, and Outcomes of Coronary Artery Perforation During PCI
11/07/2022
Deepak Bhatt, MD, MPH, Editor-in-Chief of the Journal of Invasive Cardiology (JIC), and Emmanouil Brilakis, MD, PhD, discuss coronary perforation, a rare but potentially life-threatening complication of PCI.
Deepak Bhatt, MD, MPH, Editor-in-Chief of the Journal of Invasive Cardiology (JIC), and Emmanouil Brilakis, MD, PhD, discuss coronary perforation, a rare but potentially life-threatening complication of PCI.
Deepak Bhatt, MD, MPH,...
11/07/2022
Journal of Invasive Cardiology
Bhatt and Brilakis
Video
Review and Meta-Analysis Of Clinical Outcomes of CTO-PCI Patients
11/07/2022
Emmanouil Brilakis discusses the largest meta-analysis to date investigating the impact of CTO-PCI on clinical events during long-term follow-up. The analysis (Simsek et al), included 58 publications containing a total of 45,527 who underwent...
Emmanouil Brilakis discusses the largest meta-analysis to date investigating the impact of CTO-PCI on clinical events during long-term follow-up. The analysis (Simsek et al), included 58 publications containing a total of 45,527 who underwent...
Emmanouil Brilakis discusses the...
11/07/2022
Journal of Invasive Cardiology
Akhtar CI
Video
Angiography Demonstrating Coronary Caverns
04/02/2022
Spontaneous CTO recanalization is rare. Optical coherence tomography permitted comprehensive visualization of the microchannels a 65-year-old CTO patient.
Spontaneous CTO recanalization is rare. Optical coherence tomography permitted comprehensive visualization of the microchannels a 65-year-old CTO patient.
Spontaneous CTO recanalization...
04/02/2022
Journal of Invasive Cardiology
Video: Triple-Access Retrograde CTO Treatment Via Vein Graft and Epicardial Collaterals
Videos
Video: Triple-Access Retrograde CTO Treatment Via Vein Graft and Epicardial Collaterals
06/01/2020
In selected CTO cases, triple access may facilitate the retrograde approach, allowing optimal collateral visualization.
In selected CTO cases, triple access may facilitate the retrograde approach, allowing optimal collateral visualization.
In selected CTO cases, triple...
06/01/2020
Journal of Invasive Cardiology
Electrocautery-Facilitated CTO-PCI
Videos
Electrocautery-Facilitated CTO-PCI
01/20/2020
Video demonstration of electrocautery-faciliated CTO-PCI in two patients.
Video demonstration of electrocautery-faciliated CTO-PCI in two patients.
Video demonstration of...
01/20/2020
Journal of Invasive Cardiology
Pan Figure
Clinical Videos
Outcomes of a Transapical Edge-To-Edge Repair System in Secondary Mitral Regurgitation
01/17/2025
Video Supplement to "Outcomes of a Transapical Edge-To-Edge Repair System in Secondary Mitral Regurgitation" (Original Contribution).
Video Supplement to "Outcomes of a Transapical Edge-To-Edge Repair System in Secondary Mitral Regurgitation" (Original Contribution).
Video Supplement to "Outcomes of...
01/17/2025
Journal of Invasive Cardiology
Zormpas Figure
Clinical Videos
A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction
01/16/2025
Video Supplement to "A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction" (Clinical Image).
Video Supplement to "A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction" (Clinical Image).
Video Supplement to "A Fatal...
01/16/2025
Journal of Invasive Cardiology
Singh image
Clinical Videos
Modified Transcatheter Aortic Valve Replacement: The Pros and Cons of Removing the Guidewire Immediately After Valve Deployment
01/16/2025
Video Supplement to "Modified Transcatheter Aortic Valve Replacement: The Pros and Cons of Removing the Guidewire Immediately After Valve Deployment" (Brief Communication).
Video Supplement to "Modified Transcatheter Aortic Valve Replacement: The Pros and Cons of Removing the Guidewire Immediately After Valve Deployment" (Brief Communication).
Video Supplement to "Modified...
01/16/2025
Journal of Invasive Cardiology
Aquino-Bruno Figure 2
Clinical Videos
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/14/2025
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel...
01/14/2025
Journal of Invasive Cardiology
Un Figure 1
Clinical Videos
Transcatheter Edge-to-Edge Repair of Severe Atrioventricular Valve Regurgitation in Unrepaired Functionally Univentricular Heart With Dextroversion
01/13/2025
Video Supplement to "Transcatheter Edge-to-Edge Repair of Severe Atrioventricular Valve Regurgitation in Unrepaired Functionally Univentricular Heart With Dextroversion" (Clinical Image).
Video Supplement to "Transcatheter Edge-to-Edge Repair of Severe Atrioventricular Valve Regurgitation in Unrepaired Functionally Univentricular Heart With Dextroversion" (Clinical Image).
Video Supplement to...
01/13/2025
Journal of Invasive Cardiology
Ciotola Figure
Clinical Videos
Kounis Syndrome Manifesting With Myocardial Infarction Due to Bi-Coronary Late Stent Thrombosis Following Anaphylaxis
01/13/2025
Video Supplement to "Kounis Syndrome Manifesting With Myocardial Infarction Due to Bi-Coronary Late Stent Thrombosis Following Anaphylaxis" (Clinical Image).
Video Supplement to "Kounis Syndrome Manifesting With Myocardial Infarction Due to Bi-Coronary Late Stent Thrombosis Following Anaphylaxis" (Clinical Image).
Video Supplement to "Kounis...
01/13/2025
Journal of Invasive Cardiology
Ma Figure
Clinical Videos
Pulmonary Arterial Hypertension-Induced Occlusion of Left Main Coronary Artery: Pulmonary Artery Reconstruction Surgery Resolves Stenosis Indirectly
01/08/2025
Video Supplement to "Pulmonary Arterial Hypertension-Induced Occlusion of Left Main Coronary Artery: Pulmonary Artery Reconstruction Surgery Skillfully Resolves Stenosis Indirectly" (Clinical Image).
Video Supplement to "Pulmonary Arterial Hypertension-Induced Occlusion of Left Main Coronary Artery: Pulmonary Artery Reconstruction Surgery Skillfully Resolves Stenosis Indirectly" (Clinical Image).
Video Supplement to "Pulmonary...
01/08/2025
Journal of Invasive Cardiology
Akcay Figure
Clinical Videos
Removal of a Broken Femoral Sheath Tip With Balloon Angioplasty Trapping
01/08/2025
Video Supplement to "Removal of a Broken Femoral Sheath Tip With Balloon Angioplasty Trapping" (Clinical Image).
Video Supplement to "Removal of a Broken Femoral Sheath Tip With Balloon Angioplasty Trapping" (Clinical Image).
Video Supplement to "Removal of...
01/08/2025
Journal of Invasive Cardiology
Basman Figure
Clinical Videos
Transcatheter Closure of a Complex Paravalvular Leak Associated With a Large Ventricular Pseudoaneurysm
12/30/2024
Video Supplement to "Transcatheter Closure of a Complex Paravalvular Leak Associated With a Large Ventricular Pseudoaneurysm".
Video Supplement to "Transcatheter Closure of a Complex Paravalvular Leak Associated With a Large Ventricular Pseudoaneurysm".
Video Supplement to...
12/30/2024
Journal of Invasive Cardiology
Farrakhan Figure
Clinical Videos
Coronary Access After Ascending Aorta Repair
12/30/2024
Video Supplement to "Coronary Access After Ascending Aorta Repair".
Video Supplement to "Coronary Access After Ascending Aorta Repair".
Video Supplement to "Coronary...
12/30/2024
Journal of Invasive Cardiology

Clinical Images

Clinical Images
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/13/2025
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Clinical Images
Coronary Intervention in Chronic Total Occlusion in the Left Main Coronary Artery
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had...
03/04/2024
Journal of Invasive Cardiology
Clinical Images
Use of Chronic Total Occlusion Wiring Techniques for Extremely Angulated Side Branch Access
02/13/2024
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted...
02/13/2024
Journal of Invasive Cardiology
Clinical Images
Ping-Pong Guide Catheter Technique for Facilitating Antegrade Crossing of a Chronic Total Occlusion
11/17/2023
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred...
11/17/2023
Journal of Invasive Cardiology
Clinical Images
Percutaneous Coronary Intervention for Left Main Chronic Total Occlusion: Unprotected or Protected Case?
04/01/2023
A 60-year-old male with chronic obstructive pulmonary disease and active smoking was admitted for positive treadmill test. He reported exertional chest pain 4 months ago; however, since then he had been symptom free. Echocardiography showed...
A 60-year-old male with chronic obstructive pulmonary disease and active smoking was admitted for positive treadmill test. He reported exertional chest pain 4 months ago; however, since then he had been symptom free. Echocardiography showed...
A 60-year-old male with chronic...
04/01/2023
Journal of Invasive Cardiology
Clinical Images
Chronic Total Occlusion Techniques to Recanalize an Occluded Pulmonary Vein After Atrial Fibrillation Ablation
04/01/2023
A 69-year-old male with atrial fibrillation radiofrequency ablation 2 years ago was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. A cardiac computed tomography (CT) scan...
A 69-year-old male with atrial fibrillation radiofrequency ablation 2 years ago was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. A cardiac computed tomography (CT) scan...
A 69-year-old male with atrial...
04/01/2023
Journal of Invasive Cardiology
Clinical Images
CT-Guided CTO-PCI Overcoming Bypass Surgery-Induced Native Coronary Artery Tenting
06/01/2022
A 57-year-old male complaining of recurrent chest pain was admitted for recanalization of a chronic total occlussion (CTO) of the left anterior descending (LAD) artery. Ten years earlier, the patient underwent a coronary artery bypass graft...
A 57-year-old male complaining of recurrent chest pain was admitted for recanalization of a chronic total occlussion (CTO) of the left anterior descending (LAD) artery. Ten years earlier, the patient underwent a coronary artery bypass graft...
A 57-year-old male complaining...
06/01/2022
Journal of Invasive Cardiology
Clinical Images
Coronary Caverns: Spontaneous Recanalized Chronic Total Occlusion With Multiple Microchannels
04/01/2022
A 65-year-old man with a prior history of pulmonary embolism was admitted with resting chest pain. High-sensitive troponin level was normal (32 ng/L [0-40]) and physical examination was unremarkable. The 12-lead electrocardiogram revealed...
A 65-year-old man with a prior history of pulmonary embolism was admitted with resting chest pain. High-sensitive troponin level was normal (32 ng/L [0-40]) and physical examination was unremarkable. The 12-lead electrocardiogram revealed...
A 65-year-old man with a prior...
04/01/2022
Journal of Invasive Cardiology
Triple-Access Retrograde Chronic Total Occlusion Intervention Through Vein Graft and Epicardial Collaterals
Clinical Images
Triple-Access Retrograde Chronic Total Occlusion Intervention Through Vein Graft and Epicardial Collaterals
05/30/2020
J INVASIVE CARDIOL 2020;32(6):E172-173. doi:10.25270/jic/19.00394 Key words: chronic total occlusion, saphenous vein graft
J INVASIVE CARDIOL 2020;32(6):E172-173. doi:10.25270/jic/19.00394 Key words: chronic total occlusion, saphenous vein graft
J INVASIVE CARDIOL...
05/30/2020
Journal of Invasive Cardiology
CTO 5 Years After Bioresorbable Vascular Scaffold Implantation: A Serial Optical Coherence Tomography Assessment
Clinical Images
CTO 5 Years After Bioresorbable Vascular Scaffold Implantation: A Serial Optical Coherence Tomography Assessment
04/29/2020
Angiography at 60 mo. post implantation of an Absorb bioresorbable vascular scaffold (Abbott Vascular) revealed a total occlusion at the distal scaffold. Within the proximal edge, OCT showed complete absorption of stent struts with a...
Angiography at 60 mo. post implantation of an Absorb bioresorbable vascular scaffold (Abbott Vascular) revealed a total occlusion at the distal scaffold. Within the proximal edge, OCT showed complete absorption of stent struts with a...
Angiography at 60 mo. post...
04/29/2020
Journal of Invasive Cardiology
Clinical Images
A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction
01/16/2025
A 70-year-old man presented to the emergency department with chest pain for the past 5 days. His cardiovascular history was unremarkable, except for smoking. Upon arrival, the electrocardiogram demonstrated findings consistent with inferior...
A 70-year-old man presented to the emergency department with chest pain for the past 5 days. His cardiovascular history was unremarkable, except for smoking. Upon arrival, the electrocardiogram demonstrated findings consistent with inferior...
A 70-year-old man presented to...
01/16/2025
Journal of Invasive Cardiology
Clinical Images
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/13/2025
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Clinical Images
Transcatheter Edge-to-Edge Repair of Severe Atrioventricular Valve Regurgitation in Unrepaired Functionally Univentricular Heart With Dextroversion
01/13/2025
A 36-year-old man with unrepaired double inlet and double outlet right ventricle, severe pulmonary stenosis, and dextroversion, who was on the heart transplant waiting list, presented with acute heart failure.
A 36-year-old man with unrepaired double inlet and double outlet right ventricle, severe pulmonary stenosis, and dextroversion, who was on the heart transplant waiting list, presented with acute heart failure.
A 36-year-old man with...
01/13/2025
Journal of Invasive Cardiology
Clinical Images
Kounis Syndrome Manifesting With Myocardial Infarction Due to Bi-Coronary Late Stent Thrombosis Following Anaphylaxis
01/13/2025
A 70-year-old woman developed an anaphylactic reaction with syncope and inspiratory stridor after a wasp sting. Emergency treatment included epinephrine, cortisone, and antihistamines.
A 70-year-old woman developed an anaphylactic reaction with syncope and inspiratory stridor after a wasp sting. Emergency treatment included epinephrine, cortisone, and antihistamines.
A 70-year-old woman developed an...
01/13/2025
Journal of Invasive Cardiology
Clinical Images
Mitral Transcatheter-Edge-to-Edge-Repair After Failed Alfieri Stitch: An Effective Alternative to Re-Do Surgery
01/10/2025
A 73-year-old man with a cardiac history of Barlow’s mitral valve and severe mitral regurgitation had been treated with a complicated mitral valve repair 1 year prior.
A 73-year-old man with a cardiac history of Barlow’s mitral valve and severe mitral regurgitation had been treated with a complicated mitral valve repair 1 year prior.
A 73-year-old man with a cardiac...
01/10/2025
Journal of Invasive Cardiology
Clinical Images
How to Avoid a Myocardial Infarction With Radial Wall Strain?
01/10/2025
A 67-year-old man who was overweight, hypertensive, and had no cardiovascular medical history was treated for a lateral myocardial infarction due to a ramus coronary branch occlusion.
A 67-year-old man who was overweight, hypertensive, and had no cardiovascular medical history was treated for a lateral myocardial infarction due to a ramus coronary branch occlusion.
A 67-year-old man who was...
01/10/2025
Journal of Invasive Cardiology
Clinical Images
Pulmonary Arterial Hypertension-Induced Occlusion of Left Main Coronary Artery: Pulmonary Artery Reconstruction Surgery Resolves Stenosis Indirectly
01/08/2025
The authors present the case of a 51-year-old man diagnosed with atrial septal defect who had been experiencing severe pulmonary hypertension for the past 2 years.
The authors present the case of a 51-year-old man diagnosed with atrial septal defect who had been experiencing severe pulmonary hypertension for the past 2 years.
The authors present the case of...
01/08/2025
Journal of Invasive Cardiology
Clinical Images
Removal of a Broken Femoral Sheath Tip With Balloon Angioplasty Trapping
01/08/2025
A 67-year-old woman underwent pulmonary vein isolation with radiofrequency ablation for the treatment of recurrent paroxysmal atrial fibrillation.
A 67-year-old woman underwent pulmonary vein isolation with radiofrequency ablation for the treatment of recurrent paroxysmal atrial fibrillation.
A 67-year-old woman underwent...
01/08/2025
Journal of Invasive Cardiology
Clinical Images
Transcatheter Closure of a Complex Paravalvular Leak Associated With a Large Ventricular Pseudoaneurysm
12/30/2024
The authors report their approach to managing a challenging case involving both a paravalvular leak and a large associated pseudoaneurysm, ensuring complete exclusion of both.
The authors report their approach to managing a challenging case involving both a paravalvular leak and a large associated pseudoaneurysm, ensuring complete exclusion of both.
The authors report their...
12/30/2024
Journal of Invasive Cardiology
Clinical Images
Coronary Access After Ascending Aorta Repair
12/30/2024
A 27-year-old man with uncontrolled hypertension presented with a type A aortic dissection involving the ascending, arch, and descending aorta, aneurysmal severe dilatation of the descending aorta, and hemopericardium concerning for aortic...
A 27-year-old man with uncontrolled hypertension presented with a type A aortic dissection involving the ascending, arch, and descending aorta, aneurysmal severe dilatation of the descending aorta, and hemopericardium concerning for aortic...
A 27-year-old man with...
12/30/2024
Journal of Invasive Cardiology

News

AI & Imaging
With Help of AI, CT Scans Taken to Look for Tumors, Bleeding, or Infections, Also Revealed Calcium Buildup in Arteries
01/17/2025
"Instead of relying on dedicated CT scans of coronary arteries, which are rare and not always covered by insurance, to find heart disease, we seek to use AI to help screen abdominal CT scans that are done for many reasons," said study senior...
"Instead of relying on dedicated CT scans of coronary arteries, which are rare and not always covered by insurance, to find heart disease, we seek to use AI to help screen abdominal CT scans that are done for many reasons," said study senior...
"Instead of relying on dedicated...
01/17/2025
Cath Lab Digest
human induced pluripotent stem cells (hiPSCs)
Cell-Based Therapy Improves Outcomes in Pig Model of Heart Attacks
01/17/2025
"In our current study, at week 4 after ischemia/reperfusion, we observed a significant 35.8 percent decrease in the infarct area in the hearts treated with the KO/OEhiPSC-cardiomyocyte spheroids," said Jianyi "Jay" Zhang, MD, PhD.
"In our current study, at week 4 after ischemia/reperfusion, we observed a significant 35.8 percent decrease in the infarct area in the hearts treated with the KO/OEhiPSC-cardiomyocyte spheroids," said Jianyi "Jay" Zhang, MD, PhD.
"In our current study, at week 4...
01/17/2025
Cath Lab Digest
Noise Pollution
Study: Exposure to Aircraft Noise Linked to Worse Heart Function
01/17/2025
The study, published in the Journal of the American College of Cardiology (JACC), looked at detailed heart imaging data from 3,635 people who lived close to four major airports in England.
The study, published in the Journal of the American College of Cardiology (JACC), looked at detailed heart imaging data from 3,635 people who lived close to four major airports in England.
The study, published in...
01/17/2025
Cath Lab Digest
HCM Diagnosis
JACC: Women May Be Missing Diagnosis of Hypertrophic Cardiomyopathy (HCM) Due to Guidelines That Don't Account for Natural Differences in Sex and Body Size
01/17/2025
Women may be missing a diagnosis of a potentially deadly heart condition due to guidelines that don't account for natural differences in sex and body size, according to a new study led by UCL (University College London) researchers and funded...
Women may be missing a diagnosis of a potentially deadly heart condition due to guidelines that don't account for natural differences in sex and body size, according to a new study led by UCL (University College London) researchers and funded...
Women may be missing a diagnosis...
01/17/2025
Cath Lab Digest
Cardiac Rehab
Cost of Initial Cardiac Rehab Session Strongest Predictor of Lower Attendance
01/17/2025
In a national study of over 40,000 people with Medicare and commercial insurance, 81.6% of patients did not have to pay for their initial cardiac rehabilitation session. The medically supervised program lasts up to 36 sessions.
In a national study of over 40,000 people with Medicare and commercial insurance, 81.6% of patients did not have to pay for their initial cardiac rehabilitation session. The medically supervised program lasts up to 36 sessions.
In a national study of over...
01/17/2025
Cath Lab Digest
Left Atrial Appendage Occlusion
Sub-Analysis From OPTION Clinical Trial Highlights Consistent Safety and Efficacy Outcomes With the WATCHMAN FLX™ Left Atrial Appendage Closure Device Post Cardiac Ablation in Both Concomitant and Sequential Procedures
01/17/2025
Boston Scientific News Boston Scientific Corporation announced data supporting the use of the WATCHMAN FLX™ Left Atrial Appendage Closure (LAAC) Device during a late-breaking science session at AF Symposium 2025. A prespecified...
Boston Scientific News Boston Scientific Corporation announced data supporting the use of the WATCHMAN FLX™ Left Atrial Appendage Closure (LAAC) Device during a late-breaking science session at AF Symposium 2025. A prespecified...
Boston Scientific News Boston...
01/17/2025
Cath Lab Digest
Hypertension
Medtronic Announces CMS National Coverage Analysis for Symplicity™ Spyral Renal Denervation System
01/14/2025
The Symplicity Spyral RDN system, approved by the U.S. FDA in November 2023, is an innovative, minimally invasive procedure that delivers radiofrequency energy to nerves near the kidneys that can become overactive and contribute to high blood...
The Symplicity Spyral RDN system, approved by the U.S. FDA in November 2023, is an innovative, minimally invasive procedure that delivers radiofrequency energy to nerves near the kidneys that can become overactive and contribute to high blood...
The Symplicity Spyral RDN...
01/14/2025
Cath Lab Digest
COffee and CV Disease
Morning-Only Coffee Linked With 31% Lower Risk of Dying From Cardiovascular Disease
01/14/2025
In this study, the health benefits of coffee consumption was limited to the morning hours only-from 4 am up to noon.
In this study, the health benefits of coffee consumption was limited to the morning hours only-from 4 am up to noon.
In this study, the health...
01/14/2025
Cath Lab Digest
Ischemic Stroke
Medtronic Expands U.S. Carotid Market Presence With Exclusive Contego Medical Distribution Agreement
01/13/2025
This agreement includes Contego Medical’s portfolio of commercially available products, including the recently FDA approved Neuroguard IEP® System, a unique 3-in-1 carotid stenting system that combines a high-performance stent, post-dilation...
This agreement includes Contego Medical’s portfolio of commercially available products, including the recently FDA approved Neuroguard IEP® System, a unique 3-in-1 carotid stenting system that combines a high-performance stent, post-dilation...
This agreement includes Contego...
01/13/2025
Cath Lab Digest
Intravascular Lithotripsy
FastWave Medical Announces Oversubscribed $19M Fundraise, Accelerating the Future of its IVL Systems for Cardiovascular Calcium Treatment
12/17/2024
FastWave's commitment to providing physicians with highly deliverable IVL catheters that offer durable, 360-degree sonic output has led to the rapid development of a pipeline of IVL systems that hold the potential to positively impact patient...
FastWave's commitment to providing physicians with highly deliverable IVL catheters that offer durable, 360-degree sonic output has led to the rapid development of a pipeline of IVL systems that hold the potential to positively impact patient...
FastWave's commitment to...
12/17/2024
Cath Lab Digest

Aquino-Bruno Figure 2
Clinical Videos
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/14/2025
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel...
01/14/2025
Journal of Invasive Cardiology
Clinical Images
Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment
01/13/2025
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Original Contribution
Use of the Ostial Flash Balloon in Aorto-Ostial Chronic Total Occlusion Percutaneous Coronary Intervention
01/13/2025
The authors examined the frequency and outcomes of Ostial Flash balloon use in aorto-ostial chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter contemporary CTO-PCI registry.
The authors examined the frequency and outcomes of Ostial Flash balloon use in aorto-ostial chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter contemporary CTO-PCI registry.
The authors examined the...
01/13/2025
Journal of Invasive Cardiology
Original Contribution
Randomized Comparison of a Gladius First Versus Standard Antegrade Wiring Strategy for Crossing Coronary Chronic Total Occlusions: The Gladius First Trial
12/30/2024
The authors performed a 2-arm randomized controlled trial to compare the time, efficacy and safety outcomes between an antegrade wiring (AW) strategy using a first-choice intermediate tip-load polymer-jacketed guidewire vs an AW strategy...
The authors performed a 2-arm randomized controlled trial to compare the time, efficacy and safety outcomes between an antegrade wiring (AW) strategy using a first-choice intermediate tip-load polymer-jacketed guidewire vs an AW strategy...
The authors performed a 2-arm...
12/30/2024
Journal of Invasive Cardiology
Original Contribution
Artificial Intelligence for Predicting Primary Antegrade Wiring Success of Chronic Total Occlusion Crossing
09/30/2024
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the...
09/30/2024
Journal of Invasive Cardiology
Original Contribution
Outcomes Following Antegrade-Only Versus Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the CCTOP Registry
08/19/2024
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion...
08/19/2024
Journal of Invasive Cardiology
Brief Communication
External Validation of the JR-CTO Score in Retrograde Chronic Total Occlusion Intervention: From the PROGRESS-CTO Registry
08/14/2024
The authors evaluated the JR-CTO score’s performance in patients treated at 44 centers between 2013 and 2024 as part of the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO).
The authors evaluated the JR-CTO score’s performance in patients treated at 44 centers between 2013 and 2024 as part of the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO).
The authors evaluated the JR-CTO...
08/14/2024
Journal of Invasive Cardiology
Original Contribution
Peripheral Artery Disease in Chronic Total Occlusion Percutaneous Coronary Intervention
08/09/2024
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a...
08/09/2024
Journal of Invasive Cardiology
Brief Communication
Guide Catheter Extension Use in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS CTO Registry
07/29/2024
The authors examined the frequency and temporal trends of guide catheter extension use in a large CTO-PCI registry.
The authors examined the frequency and temporal trends of guide catheter extension use in a large CTO-PCI registry.
The authors examined the...
07/29/2024
Journal of Invasive Cardiology
Review
Ten Tips and Tricks for Successful Distal True Lumen Wiring From 3-Dimensional Wiring Experts
06/03/2024

Eugene B. Wu, MD1; Wataru Nagamatsu, MD2; Atsunori Okamura, MD3

Eugene B. Wu, MD1; Wataru Nagamatsu, ...
In this article, the authors provide 10 tips for every chronic total occlusion interventionist to use when performing 3-dimensional wiring in distal true lumen wiring
In this article, the authors provide 10 tips for every chronic total occlusion interventionist to use when performing 3-dimensional wiring in distal true lumen wiring
In this article, the authors...
06/03/2024
Journal of Invasive Cardiology
AI & Imaging
With Help of AI, CT Scans Taken to Look for Tumors, Bleeding, or Infections, Also Revealed Calcium Buildup in Arteries
01/17/2025
"Instead of relying on dedicated CT scans of coronary arteries, which are rare and not always covered by insurance, to find heart disease, we seek to use AI to help screen abdominal CT scans that are done for many reasons," said study senior...
"Instead of relying on dedicated CT scans of coronary arteries, which are rare and not always covered by insurance, to find heart disease, we seek to use AI to help screen abdominal CT scans that are done for many reasons," said study senior...
"Instead of relying on dedicated...
01/17/2025
Cath Lab Digest
human induced pluripotent stem cells (hiPSCs)
Cell-Based Therapy Improves Outcomes in Pig Model of Heart Attacks
01/17/2025
"In our current study, at week 4 after ischemia/reperfusion, we observed a significant 35.8 percent decrease in the infarct area in the hearts treated with the KO/OEhiPSC-cardiomyocyte spheroids," said Jianyi "Jay" Zhang, MD, PhD.
"In our current study, at week 4 after ischemia/reperfusion, we observed a significant 35.8 percent decrease in the infarct area in the hearts treated with the KO/OEhiPSC-cardiomyocyte spheroids," said Jianyi "Jay" Zhang, MD, PhD.
"In our current study, at week 4...
01/17/2025
Cath Lab Digest
Noise Pollution
Study: Exposure to Aircraft Noise Linked to Worse Heart Function
01/17/2025
The study, published in the Journal of the American College of Cardiology (JACC), looked at detailed heart imaging data from 3,635 people who lived close to four major airports in England.
The study, published in the Journal of the American College of Cardiology (JACC), looked at detailed heart imaging data from 3,635 people who lived close to four major airports in England.
The study, published in...
01/17/2025
Cath Lab Digest
HCM Diagnosis
JACC: Women May Be Missing Diagnosis of Hypertrophic Cardiomyopathy (HCM) Due to Guidelines That Don't Account for Natural Differences in Sex and Body Size
01/17/2025
Women may be missing a diagnosis of a potentially deadly heart condition due to guidelines that don't account for natural differences in sex and body size, according to a new study led by UCL (University College London) researchers and funded...
Women may be missing a diagnosis of a potentially deadly heart condition due to guidelines that don't account for natural differences in sex and body size, according to a new study led by UCL (University College London) researchers and funded...
Women may be missing a diagnosis...
01/17/2025
Cath Lab Digest
Cardiac Rehab
Cost of Initial Cardiac Rehab Session Strongest Predictor of Lower Attendance
01/17/2025
In a national study of over 40,000 people with Medicare and commercial insurance, 81.6% of patients did not have to pay for their initial cardiac rehabilitation session. The medically supervised program lasts up to 36 sessions.
In a national study of over 40,000 people with Medicare and commercial insurance, 81.6% of patients did not have to pay for their initial cardiac rehabilitation session. The medically supervised program lasts up to 36 sessions.
In a national study of over...
01/17/2025
Cath Lab Digest
Pan Figure
Clinical Videos
Outcomes of a Transapical Edge-To-Edge Repair System in Secondary Mitral Regurgitation
01/17/2025
Video Supplement to "Outcomes of a Transapical Edge-To-Edge Repair System in Secondary Mitral Regurgitation" (Original Contribution).
Video Supplement to "Outcomes of a Transapical Edge-To-Edge Repair System in Secondary Mitral Regurgitation" (Original Contribution).
Video Supplement to "Outcomes of...
01/17/2025
Journal of Invasive Cardiology
Original Contribution
Outcomes of a Transapical Edge-To-Edge Repair System in Secondary Mitral Regurgitation
01/17/2025
The authors report the mid-term outcomes following transcatheter edge-to-edge repair using the ValveClamp system from a multi-center database of patients with both atrial and ventricular secondary mitral regurgitation (MR_ and further...
The authors report the mid-term outcomes following transcatheter edge-to-edge repair using the ValveClamp system from a multi-center database of patients with both atrial and ventricular secondary mitral regurgitation (MR_ and further...
The authors report the mid-term...
01/17/2025
Journal of Invasive Cardiology
Left Atrial Appendage Occlusion
Sub-Analysis From OPTION Clinical Trial Highlights Consistent Safety and Efficacy Outcomes With the WATCHMAN FLX™ Left Atrial Appendage Closure Device Post Cardiac Ablation in Both Concomitant and Sequential Procedures
01/17/2025
Boston Scientific News Boston Scientific Corporation announced data supporting the use of the WATCHMAN FLX™ Left Atrial Appendage Closure (LAAC) Device during a late-breaking science session at AF Symposium 2025. A prespecified...
Boston Scientific News Boston Scientific Corporation announced data supporting the use of the WATCHMAN FLX™ Left Atrial Appendage Closure (LAAC) Device during a late-breaking science session at AF Symposium 2025. A prespecified...
Boston Scientific News Boston...
01/17/2025
Cath Lab Digest
Zormpas Figure
Clinical Videos
A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction
01/16/2025
Video Supplement to "A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction" (Clinical Image).
Video Supplement to "A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction" (Clinical Image).
Video Supplement to "A Fatal...
01/16/2025
Journal of Invasive Cardiology
Clinical Images
A Fatal Case of Ventricular Septal Rupture Following Inferior ST-Elevation Myocardial Infarction
01/16/2025
A 70-year-old man presented to the emergency department with chest pain for the past 5 days. His cardiovascular history was unremarkable, except for smoking. Upon arrival, the electrocardiogram demonstrated findings consistent with inferior...
A 70-year-old man presented to the emergency department with chest pain for the past 5 days. His cardiovascular history was unremarkable, except for smoking. Upon arrival, the electrocardiogram demonstrated findings consistent with inferior...
A 70-year-old man presented to...
01/16/2025
Journal of Invasive Cardiology

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