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?
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?”
=Asahi Tornus, specialty catheter by Abbott Vascular Devices =Used for crossing chronic total occlusions (CTOs) =Used with Asahi Confianza or Asahi Miracle Bros guidewires
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)
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
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.