Coronary Chronic total occlusions (CTOs) are detected in 15 - 25% of patients undergoing coronary angiography [1]. Percutaneous Coronary Interventions (PCIs) of CTOs present some of the most complex subsets for interventional cardiologist. In the last years the success rate of CTO-PCIs has rapidly improved, not only because of the evolution in materials (e.g. microcatheters, dedicated guidewires) and techniques (including retrograde approaches and sub-intimal strategies) but also thanks to the development of dedicated programs and shared strategies for operators approaching these very complex procedures.

References

1. Fefer P., et al. “Current perspectives on coronary chronic total occlusions: the Canadian Multicenter Chronic Total Occlusions Registry”. Journal of the American College of Cardiology 59 (2012): 991-997.
2. Zivelonghi C., et al. “The hybrid algorithm for chronic total occlusions”. Vessel Plus 3 (2019): 30.
3. Zivelonghi C., et al. “Implementing a minimally invasive approach (combining radial approach, small guiding catheters and minimization of double access) for coronary chronic total occlusion intervention according to the hybrid algorithm: The Minimalistic Hybrid Algorithm”. International Journal of Cardiology 283 (2019): 84-87.

Citation

Citation: Simone Budassi., et al. “Changing Mentality in the Approach of Percutaneous Coronary Intervention of Chronic Total Occlusion: The Minimalistic Hybrid Approach”. Acta Scientific Clinical Case Reports 1.4 (2020): 01-02.

Copyright

Copyright: © 2020 Simone Budassi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.