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Review
. 2017 Aug;12(1):46-51.
doi: 10.15420/ecr.2016:25:2.

Hybrid Approach to Percutaneous Coronary Intervention to Treat Chronic Total Occlusions

Andrew McNeice  1 , Andrew Ladwiniec  1 , Simon Walsh  1 , Colm Hanratty  1
Affiliations
Review

Hybrid Approach to Percutaneous Coronary Intervention to Treat Chronic Total Occlusions

Andrew McNeice et al. Eur Cardiol. 2017 Aug.

Abstract

The hybrid approach is a systematic algorithm-led percutaneous coronary intervention strategy based on the identification of key anatomical features on coronary angiography to treat chronic total occlusions. The aims of this approach are to provide a standardised tool for physician training and programme development, avoiding futile strategies to improve safety, procedural success and reduce the contrast and radiation required to complete the case.

Keywords: chronic total occlusions; hybrid approach; percutaneous coronary intervention.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Hybrid Algorithm for Chronic Total Occlusion Percutaneous Coronary Intervention
Figure 2:
Figure 2:. Features of the Proximal Cap that Determine Strategy
Figure 3:
Figure 3:. Use of Intravascular Ultrasound to Resolve Proximal Cap Ambiguity
Figure 4:
Figure 4:. Features of Distal Landing Zone that Determine Strategy
Figure 5:
Figure 5:. Images of the CrossBoss and Stingray Devices
See this image and copyright information in PMC

References

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