Chronic total occlusions (CTO)

Case Report

Use of a Novel Cutting Balloon to Treat a Coronary Chronic Total Occlusion Due to In-Stent Restenosis of Multiple Layers of Under-Expanded Stents

03/31/2019

Robert F. Riley , MD, MS;

We present a case report describing the treatment of a left circumflex coronary artery CTO due to ISR of a double layer of stent utilizing a novel cutting balloon (Wolverine Cutting Balloon, Boston Scientific) after oversized noncompliant...

We present a case report...

03/31/2019

Cath Lab Digest

Planning CTO Procedures

03/26/2019

Emmanouil S. Brilakis , MD, PhD, FACC, FAHA, FESC, FSCAI;

CTA gives us greater confidence in determining the potential course of the occlusion and allows us to advance guidewires in the right direction. Co-registration helps us see, live, if the wire is moving in the intended course, reducing the...

CTA gives us greater confidence...

03/26/2019

Cath Lab Digest

Case Report

Novel Technique for Antegrade Wire Following Retrograde Wire and Microcatheter Crossing CTO

01/08/2019

Philip Carson , MD;

Adam T. Stys , MD, FACC;

The bamboleo technique is a novel approach for antegrade wire crossing that was successful in this case and maintained true lumen access.

The bamboleo technique is a...

01/08/2019

Cath Lab Digest

Guide Catheter Extension: Not Just for Complex Percutaneous Coronary Interventions

11/04/2018

Richard R. Heuser , MD, FACC, FACP, FESC, FSCAI;

Nachiket J. Patel , MD, FACC, FACP, FSCAI;

We present a case that describes an additional application of the CrossLock catheter. In this case, we first access a superficial femoral artery (SFA) total occlusion via an antegrade approach using a standard sheath.

We present a case that describes...

11/04/2018

Cath Lab Digest

CLI Perspectives

Limb Salvage Based on the Best Access Site to Maximize Crossing of Chronic Total Occlusion (CTO) Caps at Origin and at Reconstitution

05/29/2018

Jihad A. Mustapha , MD, FACC, FSCAI;

Fadi Saab , MD, FACC, FSCAI;

A deeper understanding of CTOs in tibial arteries was recently described by Saab et al1 in a study designed to determine if cap morphologies can be used to predict the success of different interventional approaches for the access and crossing...

A deeper understanding of CTOs...

05/29/2018

Cath Lab Digest

Case Report

CTO PCI: Complexity Begets Complexity

05/06/2018

Iosif Xenogiannis , MD;

Peter Tajti , MD;

Emmanouil S. Brilakis , MD, PhD, FACC, FAHA, FESC, FSCAI;

Hatem Najar , MD;

We elected to attempt CTO PCI with dual arterial access, using right common femoral as well as right radial access.

We elected to attempt CTO PCI...

05/06/2018

Cath Lab Digest

Image Corner

Image Guidance in CTO Treatment

03/05/2017

Images courtesy of University Hospital Erlangen, Germany.

Images courtesy of University Hospita...

The following four clinical images demonstrate CTO treatment support using syngo CTO Guidance software from Siemens Healthineers.

The following four clinical...

03/05/2017

Cath Lab Digest

Case Report

ASPIRE: Minimizing Complications in Complex Intervention

02/07/2017

Thomas P. Davis , MD, FACC;

Shwan Jalal , MD;

The Aspire Mechanical Thrombectomy Kit serves as a distal protection device for the tibial vessels when we do atherectomy. I use a blood pressure cuff to occlude the tibial vessels, then the Aspire system to remove any emboli from my...

The Aspire Mechanical...

02/07/2017

Cath Lab Digest

New Tools for Treatment of Chronic Total Occlusions of the Peripheral Arteries

12/08/2016

Richard R. Heuser , MD, FACC, FACP, FESC, FSCAI;

We describe some of the technical and clinical aspects of the newer peripheral CTO devices.

We describe some of the...

12/08/2016

Cath Lab Digest

Use of the Crosser CTO Recanalization System and GeoAlign Marking System for Chronic Total Occlusions

11/03/2016