Chronic Total Occlusion

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Wanted: A Hybrid Peripheral CTO Algorithm

Wanted: A Hybrid Peripheral CTO Algorithm
Cardiology Today's Intervention, September/October 2017
J.A. Mustapha, MD, FACC, FSCAI

The comparison of peripheral chronic total occlusions and coronary CTOs is like comparing apples to oranges. There are many factors that differentiate the two, and merely using the same techniques and tools to revascularize peripheral CTOs as we do coronary CTOs will often lead to failure.

Instead, interventionalists who treat peripheral CTOs need to understand how the characteristics of peripheral CTOs and the tools available specifically for peripheral lesions can help us work toward developing a hybrid peripheral CTO algorithm — similar to, but distinct from, the hybrid coronary CTO algorithm.

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