One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique

The retrograde approach has significantly increased the overall success rate of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), up to 90% in the hands of experienced CTO operators. The “tip-in” technique involves inserting an antegrade microcatheter over the retrograde guidew...

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Autores principales: Firouzi, Ata, Hosseini, Zahra, Khalilipur, Ehsan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314161/
https://www.ncbi.nlm.nih.gov/pubmed/35898670
http://dx.doi.org/10.1155/2022/2952898
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author Firouzi, Ata
Hosseini, Zahra
Khalilipur, Ehsan
author_facet Firouzi, Ata
Hosseini, Zahra
Khalilipur, Ehsan
author_sort Firouzi, Ata
collection PubMed
description The retrograde approach has significantly increased the overall success rate of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), up to 90% in the hands of experienced CTO operators. The “tip-in” technique involves inserting an antegrade microcatheter over the retrograde guidewire, allowing for antegrade intervention on the CTO segment. Through the presentation of the following case, we want to illustrate how to undertake a retrograde approach to bridge the occluded segment via the “reverse tip-in” or “introspect” technique, using a single guiding catheter with one microcatheter inside.
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spelling pubmed-93141612022-07-26 One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique Firouzi, Ata Hosseini, Zahra Khalilipur, Ehsan Case Rep Cardiol Case Report The retrograde approach has significantly increased the overall success rate of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), up to 90% in the hands of experienced CTO operators. The “tip-in” technique involves inserting an antegrade microcatheter over the retrograde guidewire, allowing for antegrade intervention on the CTO segment. Through the presentation of the following case, we want to illustrate how to undertake a retrograde approach to bridge the occluded segment via the “reverse tip-in” or “introspect” technique, using a single guiding catheter with one microcatheter inside. Hindawi 2022-07-18 /pmc/articles/PMC9314161/ /pubmed/35898670 http://dx.doi.org/10.1155/2022/2952898 Text en Copyright © 2022 Ata Firouzi et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Firouzi, Ata
Hosseini, Zahra
Khalilipur, Ehsan
One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique
title One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique
title_full One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique
title_fullStr One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique
title_full_unstemmed One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique
title_short One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The “Reverse Tip-In” or “Introspect” Technique
title_sort one 6-f guiding catheter and one microcatheter to accomplish a retrograde chronic total occlusion approach: the “reverse tip-in” or “introspect” technique
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314161/
https://www.ncbi.nlm.nih.gov/pubmed/35898670
http://dx.doi.org/10.1155/2022/2952898
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