Techniques for penetrating chronic total occlusion (CTO) to ensure complete revascularization using percutaneous coronary techniques. Success is only 50–75%, even in the best hands. How to improve?
A major limitation of percutaneous therapy (PCI) for the treatment of chronic total occlusions (CTOs) is the inability to cross with a wire. We report successful recanalization of a CTO using Intraluminal Wire (tm)...
Articles on the various questions, problems, and controversies currently plaguing drug-eluting stents: deployment techniques, stent qualities, antiplatelet therapies, and etiologies of post-DES thrombosis and restenosis.
=Asahi Tornus, specialty catheter by Abbott Vascular Devices =Used for crossing chronic total occlusions (CTOs) =Used with Asahi Confianza or Asahi Miracle Bros guidewires
Every 3rd coronary angiography patient presents 1+ total arterial occlusion. Guidewire failure often precludes subsequent repair of the lesion in the cardiac cath lab; many of these patients are ultimately managed surgically or medically.
Discussion of AVD Asahi, Prowater, and Confianza guidewires in tortuous vessels and resistant coronary arterial occlusions/lesions. Success in opening chronic total occlusions is 50-75%; better guidewires are essential.
Crosser catheter proved successful for recanalization of a chronic total occlusion with mid-CTO tortuosity. The case illustrates the ability of the device to navigate a tortuous path of the occlusion within the true lumen without arterial dissection or pe
Major limitation of percutaneous therapy (PCI) for the treatment of chronic total occlusions (CTOs) is the inability to cross with a wire. Recanalization with Intraluminal Wire, combines guidance of wire tip and radiofrequency ablation.
S. Engelhardt, M. Bohm, E. Erdmann, and M. Lohse. J Am Coll Cardiol, 27 (1):
146-54(January 1996)Engelhardt, S Bohm, M Erdmann, E Lohse, M J Research Support, Non-U.S.
Gov't United states Journal of the American College of Cardiology
J Am Coll Cardiol. 1996 Jan;27(1):146-54..