Stabbing Wire Technique as a Novel Conventional Initial Strategy for Percutaneous Coronary Intervention of Chronic Total Occlusion-Juniper Publishers
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Background CTOs can occur acutely and go unrecognized, as silent clinical events, but probably in more instances than not, they occur gradually over time. Often the area of the myocardium that is subtended by the totally occluded vessel is still very viable and functional despite having an occluded artery, because over time, collaterals have developed to keep the heart tissue alive. However, the collaterals have not been shown to supply enough blood and oxygen required when the demand of the heart muscle increases. Total re- vascularization and restoration of normal ante-grade flow can be very important for many patients with chronic total occlusion (CTO) and attributable symptoms, ischemia, and/or ventricular dysfunction/ dysrhythmia. Technical success remains lower for CTO PCI than for PCI of non-CTO lesions and remains a major impediment to optimally managing patients with coronary ...