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Guidewire crossing techniques in coronary chronic total occlusion intervention: A to Z

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机构： [a]S. L Raheja (A Fortis Associate) Hospital, Nanavati Superspeciality Hospital, Mumbai, India [b]Department of Cardiology, Beijing Tiantan Hospital, Beijing, China

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关键词： Antegrade approach Chronic total occlusion Dissection and reentry Percutaneous coronary intervention Retrograde approach

摘要：

Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) poses a management dilemma for the interventional cardiologist. Effective wiring technique is the key to success of PCI in CTO, which requires more patience and skill of the operator. The author herein intends to explore in detail the different wiring strategies such as antegrade approach, dissection and reentry, retrograde and hybrid approach. Hopefully, this review would enhance the understanding of this complex procedure and, consequently, promote safe and effective PCI. © 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

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