Author + information
- Received July 25, 2011
- Revision received October 3, 2011
- Accepted October 14, 2011
- Published online January 1, 2012.
- Dominique Joyal, MD⁎,
- Craig A. Thompson, MD§,
- J. Aaron Grantham, MD∥,
- Christopher E.H. Buller, MD‡ and
- Stéphane Rinfret, MD, SM†,⁎ ()
- ↵⁎Reprint requests and correspondence:
Dr. Stéphane Rinfret, Clinical and Interventional Cardiology, Multidisciplinary Cardiology Department, Institut Universitaire de Cardiologie et de Pneumologie de Québec (Quebec Heart and Lung Institute), 2725, chemin Ste-Foy, Quebec City, Quebec G1V 4G5, Canada
Chronic total occlusion recanalization still represents the final frontier in percutaneous coronary intervention. Retrograde chronic total occlusion recanalization has recently become an essential complement to the classical antegrade approach. In experienced hands, the retrograde technique currently has a high success rate with a low complication profile, despite frequent utilization in the most anatomically and clinically complex patients. Since its initial description, important changes have occurred that make the technique faster and more successful. We propose a step-by-step approach of the technique as practiced at experienced centers in North America. Because the technique can vary substantially, we describe the different alternatives to each step and offer what we perceived to be the most efficient techniques.
All authors reported having received honorariums from Abbott Vascular (which distributes Asahi products in North America) for teaching or proctorship of CTO PCI. Drs. Rinfret and Thompson have received honorariums from Terumo for past lectures. None of these relationships are felt to be conflicted with the content of this article.
- Received July 25, 2011.
- Revision received October 3, 2011.
- Accepted October 14, 2011.
- American College of Cardiology Foundation