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- W2772185875 abstract "Balloon-uncrossable chronic total occlusions (CTOs) are lesions that cannot be crossed with a balloon after successful guidewire crossing and confirmation of guidewire placement into the distal true lumen. Such lesions should be approached in an algorithmic fashion. First, several small balloons are used and inflated within the lesion or are ruptured within the lesion to modify it (grenadoplasty). Second, various microcatheters are advanced or a second wire is advanced through the occlusion and withdrawn after inflating a balloon over the initial guidewire (wire-cutting). Third, various techniques to increase guide catheter support (such as guide catheter extensions and anchor techniques) are employed. Fourth, laser or rotational/orbital atherectomy is performed (provided that a dedicated atherectomy guidewire can be advanced through the lesion). Fifth, the lesion is recrossed or modified using various subintimal techniques." @default.
- W2772185875 created "2017-12-22" @default.
- W2772185875 creator A5006498527 @default.
- W2772185875 date "2018-01-01" @default.
- W2772185875 modified "2023-09-26" @default.
- W2772185875 title "“Balloon-Uncrossable” and “Balloon-Undilatable” Chronic Total Occlusions" @default.
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- W2772185875 doi "https://doi.org/10.1016/b978-0-12-809929-2.00008-9" @default.
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