open access

Vol 24, No 6 (2017)
Review articles — Interventional cardiology
Published online: 2017-06-12
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Treatment of coronary chronic total occlusion by transradial approach: Current trends and expert recommendations

Leszek Bryniarski, Michał Zabojszcz, Krzysztof L. Bryniarski
DOI: 10.5603/CJ.a2017.0067
·
Pubmed: 28612905
·
Cardiol J 2017;24(6):695-699.

open access

Vol 24, No 6 (2017)
Review articles — Interventional cardiology
Published online: 2017-06-12

Abstract

The aim of this review is to highlight the technical details and the scientific data on percutaneous coronary interventions (PCIs) in chronic total occlusion (CTO) performed by transradial approach (TRA). Transfemoral approach (TFA) is commonly regarded as the standard for CTO PCI, but there is a growing number of CTO recanalization procedures performed by TRA. We discuss the relevant technical details to approach a CTO by transradial access, especially the compatibility of various CTO recanalization techniques with specific guiding catheter sizes. Randomized prospective trials in this field are lacking and only data from observational studies are available. We can conclude that transradial access for CTO PCI is feasible and could be very useful in selected patients. In our opinion, transradial access in CTO PCIs should be limited to operators and centers highly experienced in CTO recanaliza¬tion and in TRA.

Abstract

The aim of this review is to highlight the technical details and the scientific data on percutaneous coronary interventions (PCIs) in chronic total occlusion (CTO) performed by transradial approach (TRA). Transfemoral approach (TFA) is commonly regarded as the standard for CTO PCI, but there is a growing number of CTO recanalization procedures performed by TRA. We discuss the relevant technical details to approach a CTO by transradial access, especially the compatibility of various CTO recanalization techniques with specific guiding catheter sizes. Randomized prospective trials in this field are lacking and only data from observational studies are available. We can conclude that transradial access for CTO PCI is feasible and could be very useful in selected patients. In our opinion, transradial access in CTO PCIs should be limited to operators and centers highly experienced in CTO recanaliza¬tion and in TRA.
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Keywords

chronic total occlusion, transradial approach, transfemoral approach, percutaneous coronary intervention

About this article
Title

Treatment of coronary chronic total occlusion by transradial approach: Current trends and expert recommendations

Journal

Cardiology Journal

Issue

Vol 24, No 6 (2017)

Pages

695-699

Published online

2017-06-12

DOI

10.5603/CJ.a2017.0067

Pubmed

28612905

Bibliographic record

Cardiol J 2017;24(6):695-699.

Keywords

chronic total occlusion
transradial approach
transfemoral approach
percutaneous coronary intervention

Authors

Leszek Bryniarski
Michał Zabojszcz
Krzysztof L. Bryniarski

References (21)
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