Mr. Simonette C Villabeto, Romeo M Del Rosario, and Oliva P Canencia from the institute of the Cotabato Foundation College of Science and Technology, College of Arts and Sciences, Doroluman, Arakan, Cotabato, Philippines, and University of Science and Technology of Southern Philippines, College of Science and Technology Education, Lapasan, Cagayan de Oro City, Philippines wrote…
elective PTCA of totally occluded coronary arteries is feasible but the primary success rate is lower (57%) than that associated with conventional lesions. The long-term clinical results following successful angioplasty are satisfactory (64%), but the inc
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)...
Evaluation of Cypher Sirolimus Eluting Stent in Patients Undergoing Elective Revascularization of Nonacute Total Coronary Occlusions (TCO). Cordis Corp. Columbia Presbyterian, NYC. 2006-2011. (Not currently recruiting)
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.
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.
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
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.
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?
=Asahi Tornus, specialty catheter by Abbott Vascular Devices =Used for crossing chronic total occlusions (CTOs) =Used with Asahi Confianza or Asahi Miracle Bros guidewires
We must optimize stent deployment & maintain a registry of how well (or poorly) we use drug-eluting stents. Instead of asking “Which stent?” or “How much anti-platelet therapy?” we must ask “How effectively are we deploying our stents?”
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