The Retrograde Technique for Recanalization of Chronic Total Occlusions

摘要: Chronic total occlusion recanalization still represents the final frontier in percutaneous coronary intervention. Retrograde chronic has recently become an essential complement to classical antegrade approach. In experienced hands, retrograde technique currently a high success rate with low complication profile, despite frequent utilization most anatomically and clinically complex patients. Since its initial description, important changes have occurred that make faster more successful. We propose step-by-step approach of as practiced at centers North America. Because can vary substantially, we describe different alternatives each step offer what perceived be efficient techniques.