ArticleJACC. Case reports2026
Keys to Successful Tip Detection-Antegrade Dissection and Re-Entry (TD-ADR): Long-Axis Bias View Selection and 6 Approaches.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The tip detection method using the AnteOwl WR intravascular ultrasound has improved the success rate of antegrade chronic total occlusion percutaneous coronary intervention (CTO-PCI). The tip detection-antegrade dissection and re-entry (TD-ADR) technique has demonstrated high procedural success and is increasingly adopted in CTO-PCI. Established technical principles include adequate visualization of the wire tip, minimal second-curve formation, and appropriate microcatheter selection and positioning. However, the selection of the puncture plane using intravascular ultrasound cross-sectional images along the extra-plaque guidewire course, as well as the puncture technique within that plane, often relies on operator intuition. We present 3 cases in which TD-ADR was initially challenging. In all cases, successful re-entry was achieved by selecting the puncture plane based on favorable second-wire bias toward the true lumen and by applying a structured 6-point puncture strategy within that plane. This structured approach may enhance the reproducibility and success of TD-ADR.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.