Retrograde Approach for Chronic Total Occlusions: The Importance of Experience and Proctorship

Sinisa Stojkovic,1 PhD, Milorad Zivkovic2, Branko Beleslin3

1. Associated professor of Internal medicine/cardiology, Head of a catheterization laboratory, Clinic for cardiology, Clinical center of Serbia, Medical faculty, University of Belgrade.
2. Interventional cardiology fellow, Clinic for cardiology, Clinical center of Serbia, Medical faculty, University of Belgrade
3.  Associated professor of internal medicine/cardiology, Head, Department for functional diagnostics and hemodynamics, Head, Department for clinical research and education. Clinic for cardiology, Clinical center of Serbia, Medical faculty, University of Belgrade.

Disclosure: No potential conflict of interest.
Citation: EMJ Int Cardiol. 2013;1:70-74.

Abstract

Recanalization of chronic total occlusions have remained suboptimal in the field of percutaneous coronary intervention. Hopes for better outcomes have raised since introduction and evolving new techniques including retrograde approach. Along with conventional antegrade approaches this technique led to success rate of more than 90% in experienced and chronic total occlusion dedicated centers. The article focuses on contemporary retrograde approach strategy and importance of experience and proctorship in percutaneous coronary intervention of coronary chronic total occlusions.

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