| Autor: |
Rinfret, Stéphane, Henry, Glen A., Khatri, Jaikirshan J., Mashayekhi, Kambis, Alaswad, Khaldoon, Azzalini, Lorenzo, Ybarra, Luiz F., Vijayaraghavan, Ram, Frizzell, Jarrod D., Avran, Alexandre, McEntegart, Margaret B., Lombardi, William L., Grantham, J. Aaron, Brilakis, Emmanouil |
| Zdroj: |
JACC: Cardiovascular Interventions; Oct2024, Vol. 17 Issue 20, p2411-2424, 14p |
| Abstrakt: |
Dissection and re-entry techniques are essential to achieve safe and effective chronic total occlusion recanalization. Several studies have demonstrated similar outcomes following extraplaque stenting compared with intraplaque stenting. Dissection techniques most often involve the use of knuckled wires to progress within and beyond the chronic total occlusion segment. In this expert consensus document, the authors compare the properties of different polymer-jacketed wires for their use in dissection techniques. The authors also describe 2 principal knuckle wire behaviors, the rolling and the traveling knuckles. Finally, several adjunctive techniques for safer dissection are described. [Display omitted] • DARTs are advocated for long and calcified CTO segments to avoid perforation. • We describe 2 fundamental knuckle behaviors, the rolling and traveling knuckles, and their use. • Better description of knuckle behavior should enhance communication and knowledge transfer. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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