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Comment
. 2023 Apr 3;18(16):e1388-e1389.
doi: 10.4244/EIJ-D-22-00838.

Letter: What is the Carlino technique?

Mauro Carlino  1 , Lorenzo Azzalini  2
Affiliations
Comment

Letter: What is the Carlino technique?

Mauro Carlino et al. EuroIntervention. .
No abstract available

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Conflict of interest statement

L. Azzalini received honoraria from Teleflex, Abiomed, Asahi Intecc, Philips, GE Healthcare, Abbott Vascular, and Cardiovascular Systems, Inc. The other author has no conflicts of interest to declare.

Figures

Figure 1
Figure 1. Applications of the Carlino technique.
Top panel: a small amount of contrast media is injected through the microcatheter to modify and/or provide information about the occlusive plaque. A) A gentle injection of small amounts of contrast distributes along the paths of least resistance within the occlusion (arrows), represented by loose fibrous tissue. B1-B4) Use of the Carlino technique to modify plaque compliance: B1) Flush ostial right coronary artery (RCA) CTO. The retrograde approach is performed, and a high-tipload guidewire cannot negotiate an area of marked calcification in the mid-RCA. B2) The Carlino technique is performed (arrow), after which (B3) a low-tipload polymer-jacketed wire easily tracks trough the plaque and reaches the antegrade guide catheter. B4) Final result. C) Carlino technique in a small branch: “storm cloud” dissection (arrow). D) Carlino technique in a large vessel (RCA): “tubular” dissection (arrow). CTO: chronic total occlusion. Reproduced with permission from “A guide to mastering Antegrade CTO PCI Part 2” by James C. Spratt (https://books.apple.com/gb/book/a-guide-to-mastering-antegrade-cto-pci-part-2/id1474965405).
See this image and copyright information in PMC

Comment in

  • Reply: What is the Carlino technique?
    Di Mario C, Mashayekhi KA, Garbo R, Pyxaras SA, Ciardetti N, Werner GS. Di Mario C, et al. EuroIntervention. 2023 Apr 3;18(16):e1390. doi: 10.4244/EIJ-D-22-00879. EuroIntervention. 2023. PMID: 37025085 Free PMC article. No abstract available.

Comment on

References

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