ArticleEuropean heart journal. Case reports2025
Minimalistic chronic total occlusion treatments using tip detection-antegrade dissection and re-entry: a case series.
Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Angiography- and IVUS-tip-detection-guided 3D wiring for CTO and non-CTO percutaneous coronary interventions.Cardiovascular intervention and therapeutics · 2026Review
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Since chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is mainly aimed at symptom relief, it should avoid placing patients at risk. Tip detection-antegrade dissection and re-entry (TD-ADR), whose wiring time has been reported to be shorter compared to retrograde approach, do not need a dual access. Although the retrograde approach is effective, it is a significant risk factor for in-hospital adverse events after CTO PCI. We are advocating 'Minimalistic Approach with Tip detection-antegrade dissection and re-entry' (MAT) which positions antegrade wiring as the first, tip-detection intravascular ultrasound-guided wiring as the second, and the retrograde approach as the third option. Case summary: This case series describes three PCIs performed via a single radial access for right coronary artery CTOs characterized by a puncturable proximal cap and non-diffuse calcification. It was possible for TD-ADR to stick to the CTO body and preserves side branches distal to the CTO. Discussion: MAT enables antegrade CTO treatment with a single radial access. While TD-ADR is difficult in diffusely calcified CTO, complications of TD-ADR are limited to those that can be adequately anticipated and managed, unlike those associated with the retrograde approach. MAT likely reduces procedural risks and improves patient comfort.
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