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| Dr. Junbo Ge provides tips and tricks for percutaneous revascularization of CTO patients |
Dr. Junbo Ge provides tips and tricks for percutaneous revascularization of CTO patients.
The criteria for a CTO revascularization to be considered successful are explained.
Several common causes of failure when intervening on a CTO are discussed, and outlines
ways to overcome these problems are given. Dr. Ge provides insights on selecting the
proper guiding catheter. The drilling and penetrating techniques are compared and
contrasted. Dr. Ge explains the proper way to shape the guide wire tip. Wire handling
techniques (anchor, parallel wire, see-saw, side branch, retrograde kissing) are covered.
Dr. Ge explains a RCA CTO where bilateral angiography and the double wire technique were
utilized. The Venture and Tornus devices are discussed. An LAD CTO case using the
retrograde wire kissing technique is presented, as is an RCA CTO case using the same
technique. The benefit of using IVUS to guide entry is explained. Dr. Ge presents a case
where a 51 year old male who is hypertensive, has diabetes and is suffering from angina is
treated with the retrograde wire kissing technique.
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