Chronic total occlusions (CTO)

CLI Perspectives

Strategies for Failed Antegrade Approach for Infrainguinal CTOs

12/21/2020

CLI Perspectives is headed by section editor J.A. Mustapha, MD, Advanced Cardiac & Vascular Centers for Amputation Prevention, Grand Rapids, Michigan.

Dr. Mustapha interviews Mahmood Razavi, MD, St. Joseph Heart & Vascular Center, Orange, California.

CLI Perspectives is headed by section...

I don’t think there is such a thing as a “straightforward CTO” in below-the-knee vessels, since even a short occlusion can pose a significant challenge at times.

I don’t think there is such a...

12/21/2020

Cath Lab Digest

Case Report

Multilevel CTO Crossing and Treatment

01/01/2020

Mason D. Nagel¹, BS, and George Adams², MD, MHS, FACC

¹NCSU of Raleigh, North Carolina; ²UNC Rex Hospital of Raleigh, North Carolina; University of North Carolina in Chapel Hill, North Carolina

Mason D. Nagel1, BS, and George Adams...

This case utilizes a personalized approach for access, crossing, and treatment in order to achieve the best outcomes for the patient.

This case utilizes a...

01/01/2020

Cath Lab Digest

Case Report

Multilevel CTO Crossing and Treatment

12/04/2019

Mason D. Nagel, BS¹; George Adams, MD, MHS, FACC²

¹NCSU of Raleigh, North Carolina ;²UNC Rex Hospital of Raleigh, North Carolina

Mason D. Nagel, BS1; George Adams, MD...

Nagel and Adams describe a case that utilizes a personalized approach for access, crossing, and treatment in order to achieve the best outcomes for the patient.

Nagel and Adams describe a case...

12/04/2019

Vascular Disease Management

Case Files by Dr. George

Utility of Laser Atherectomy in Complex Revascularization of Coronary Chronic Total Occlusion

10/06/2019

Sehrish Memon, MD, Sanjog Kalra, MD, Sean Janzer, MD, Jon C. George, MD, Division of Interventional Cardiology and Endovascular Medicine,

Einstein Medical Center, Philadelphia, Pennsylvania

Sehrish Memon, MD, Sanjog Kalra, MD, ...

We describe a case of complex proximal RI and LCX CTOs in the same patient with a high J-CTO score. Use of hybrid algorithm led to successful crossing and revascularization with the utilization of laser atherectomy and imaging guidance.

We describe a case of complex...

10/06/2019

Cath Lab Digest

Getting a Balloon Through in Complex PCI: Crossing Made Easier

07/08/2019

Cath Lab Digest talks with J. Aaron Grantham, MD, Saint Luke’s Mid America Heart Institute, Kansas City, Missouri, about his work and experience with the Takeru PTCA balloon (Terumo Interventional Systems).

Cath Lab Digest talks with J. Aaron G...

I do 250-300 percutaneous coronary intervention (PCI) procedures per year, and 60-70% of those procedures are chronic total occlusions (CTOs) or complex high-risk indicated procedures (CHIP). It is important to emphasize that these procedures...

I do 250-300 percutaneous...

07/08/2019

Cath Lab Digest

Editor's Corner

An Innovative Device for Crossing Chronic Total Occlusions

07/16/2018

Pradeep Nair, MD

Interventional Cardiologist, Section Editor of Vascular Disease Management: New Technologies; Cardiovascular Institute of the South, Houma, Louisiana

Pradeep Nair, MD Interventional C...

CTOs comprise a large percentage of lower extremity arterial interventions. In my opinion, true lumen antegrade CTO crossing would be the preferred approach.

CTOs comprise a large percentage...

07/16/2018

Vascular Disease Management

Clinical Editor's Corner

A Primer on Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention for the Cath Lab

05/29/2018

Morton J. Kern, MD, and Arnold H. Seto, MD, MPA

Dr. Seto is the Chief of Cardiology at Long Beach VA Medical Center, in Long Beach, California.

Morton J. Kern, MD, and Arnold H. Set...

A question came from one of our cath lab staff, who asked if we could describe how chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is done and what the options are for a successful procedure.

A question came from one of our...

05/29/2018

Cath Lab Digest

Commentary

Commentary to "CTO PCI: Complexity Begets Complexity": If At First You Don’t Succeed… A Tour-de-Force in Complex CTO Intervention

05/06/2018

Tim A. Fischell, MD, FACC, FSCAI

Michigan State University, Western Michigan University School of Medicine, Borgess Heart Institute, Kalamazoo, Michigan

Tim A. Fischell, MD, FACC, FSCAI ...

In this issue, Najar et al have reported a truly heroic effort of grit, skill, and determination in tackling a complex chronic total occlusion (CTO) percutaneous coronary intervention (PCI) of the right coronary artery.

In this issue, Najar et al have...

05/06/2018

Cath Lab Digest

Commentary

Commentary to "CTO PCI: Complexity Begets Complexity": If At First You Don’t Succeed… A Tour-de-Force in Complex CTO Intervention

05/06/2018

Tim A. Fischell, MD, FACC, FSCAI

Michigan State University, Western Michigan University School of Medicine, Borgess Heart Institute, Kalamazoo, Michigan

Tim A. Fischell, MD, FACC, FSCAI ...

In this issue, Najar et al have...

05/06/2018

Cath Lab Digest

Case Report

Learn How Access Strategy Impacts Complex CTO Crossing

04/06/2018

Arthur C. Lee, MD

The Cardiac & Vascular Institute, Gainesville, Florida

Arthur C. Lee, MD The Cardiac ...

Access strategy for chronic total occlusions (CTOs) is crucial in obtaining procedural success. Some access sites may have a higher complication rate or be more technically difficult to obtain; therefore, the pros and cons of the approach...

Access strategy for chronic...

04/06/2018

Vascular Disease Management