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
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)
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?”