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Chronic Total Occlusion (CTO) Topic Center

Chronic Total Occlusion (CTO)

Original Contribution
04/02/2025
Dimitrios Strepkos, MD; Athanasios Rempakos, MD; Michaella Alexandrou, MD; Deniz Mutlu, MD; Pedro E.P. Carvalho, MD; Ozgur Selim Ser, MD; Khaldoon Alaswad, MD; Mir Babar Basir, DO; Dmitrii Khelimskii, MD; Oleg Krestyaninov, MD; Jaikirshan J. Khatri, MD; Laura D. Young, MD; Omer Goktekin, MD; Paul Poommipanit, MD; Farouc A. Jaffer, MD, PhD; Sevket Gorgulu, MD; Ahmed M. ElGuindy, MD; Nidal Abi Rafeh, MD; Olga C. Mastrodemos, BA; Bavana V. Rangan, BDS, MPH; Sandeep Jalli, DO; Konstantinos Voudris, MD, PhD; Yader Sandoval, MD; M. Nicholas Burke, MD; Emmanouil S. Brilakis, MD, PhD
The impact of contrast type in chronic total occlusion (CTO) percutaneous coronary intervention (PCI) remains controversial. The authors sought to evaluate the impact of contrast medium selection on patients undergoing CTO PCI.
The impact of contrast type in chronic total occlusion (CTO) percutaneous coronary intervention (PCI) remains controversial. The authors sought to evaluate the impact of contrast medium selection on patients undergoing CTO PCI.
The impact of contrast type in...
04/02/2025
Journal of Invasive Cardiology
Original Contribution
03/04/2025
Soichiro Ebisawa, MD, PhD; Etsuo Tsuchikane, MD, PhD; Koichi Kishi, MD; Yoshiaki Ito, MD, PhD; Hisayuki Okada, MD, PhD; Satoru Sumitsuji, MD; Yuji Oikawa, MD; Ryohei Yoshikawa, MD; Hiroyuki Tanaka, MD
This study aimed to compare the strategies and initial success rates of chronic total occlusion-percutaneous coronary intervention in patients with and without prior coronary artery bypass graft.
This study aimed to compare the strategies and initial success rates of chronic total occlusion-percutaneous coronary intervention in patients with and without prior coronary artery bypass graft.
This study aimed to compare the...
03/04/2025
Journal of Invasive Cardiology
EB Top 10
Author Interview
02/03/2025
Emmanouil S. Brilakis, MD, PhD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil S. Brilakis about his Editor’s 2024 Top 10 article, “Update on Chronic Total Occlusion Percutaneous Coronary Intervention”.
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil S. Brilakis about his Editor’s 2024 Top 10 article, “Update on Chronic Total Occlusion Percutaneous Coronary Intervention”.
Dr Deepak L. Bhatt,...
02/03/2025
Journal of Invasive Cardiology
Aquino-Bruno Figure 2
Clinical Videos
01/14/2025
Marco A. Alcántara-Meléndez, MD; Antonio Vargas-Cruz, MD; César L. González-Aguilar, MD; Faustino J. Silva-Centeno, MD; Jesus González-Jasso, MD; Leonel Avendaño-Perez, MD; Rafael Esparza-Corona, MD; Heberto Aquino-Bruno, MD
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel...
01/14/2025
Journal of Invasive Cardiology
Clinical Images
01/13/2025
Marco A. Alcántara-Meléndez, MD; Antonio Vargas-Cruz, MD; César L. González-Aguilar, MD; Faustino J. Silva-Centeno, MD; Jesus González-Jasso, MD; Leonel Avendaño-Perez, MD; Rafael Esparza-Corona, MD; Heberto Aquino-Bruno, MD
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Original Contribution
01/13/2025
Deniz Mutlu, MD; Dimitrios Strepkos, MD; Pedro E.P. Carvalho, MD; Michaella Alexandrou, MD; Ahmed Al-Ogaili, MD; Sandeep Jalli, MD; Khaldoon Alaswad, MD; Farouc A. Jaffer, MD; Rhian Davies, DO, MS; Paul Poommipanit, MD; Jarrod Frizzell, MD; Basem Elbarouni, MD; Jaikirshan J. Khatri, MD; Sevket Gorgulu, MD; Omer Goktekin, MD; Ramazan Ozdemir, MD; Mahmut Uluganyan, MD; Ahmed ElGuindy, MD; Yasser Sadek, MD; Yousif Ahmad, BMedSci, BMBS, PhD; Mir B. Basir, MD; Leah Raj, MD; Luiz Ybarra, MD, PhD; Bilal Murad, MD; Bavana V. Rangan, BDS, MPH; Olga C. Mastrodemos, BA; Lorenzo Azzalini, MD, PhD, MSc; Yader Sandoval, MD; M. Nicholas Burke, MD; Emmanouil S. Brilakis, MD, PhD
The authors examined the frequency and outcomes of Ostial Flash balloon use in aorto-ostial chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter contemporary CTO-PCI registry.
The authors examined the frequency and outcomes of Ostial Flash balloon use in aorto-ostial chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a multicenter contemporary CTO-PCI registry.
The authors examined the...
01/13/2025
Journal of Invasive Cardiology
Original Contribution
12/30/2024
Maksymilian P. Opolski, MD, PhD; Antoni Zyśk, MD; Wojciech Skorupski, MD, PhD; Artur Dębski, MD, PhD; Adam Witkowski, MD, PhD
The authors performed a 2-arm randomized controlled trial to compare the time, efficacy and safety outcomes between an antegrade wiring (AW) strategy using a first-choice intermediate tip-load polymer-jacketed guidewire vs an AW strategy...
The authors performed a 2-arm randomized controlled trial to compare the time, efficacy and safety outcomes between an antegrade wiring (AW) strategy using a first-choice intermediate tip-load polymer-jacketed guidewire vs an AW strategy...
The authors performed a 2-arm...
12/30/2024
Journal of Invasive Cardiology
Original Contribution
09/30/2024
Michaella Alexandrou, MD; Athanasios Rempakos, MD; Deniz Mutlu, MD; Dimitrios Strepkos, MD; Pedro E.P. Carvalho, MD; Ahmed Al-Ogaili, MD; Anastasios Milkas, MD; Ioannis Tsiafoutis, MD; Khaldoon Alaswad, MD; Mir Babar Basir, DO; Rhian Davies, DO, MS; Farouc A. Jaffer, MD, PhD; William Nicholson, MD; Lorenzo Azzalini, MD, PhD, MSc; Sevket Gorgulu, MD; Jaikirshan J. Khatri, MD; Sripal Bangalore, MD, MHA; Bavana V. Rangan, BDS, MPH; Olga C. Mastrodemos, BA; M. Nicholas Burke, MD; Yader Sandoval, MD; Emmanouil S. Brilakis, MD, PhD
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the...
09/30/2024
Journal of Invasive Cardiology
Original Contribution
08/19/2024
Louis Verreault-Julien, MD, MPH; Israth Jahan, BSc; Nandini Dendukuri, PhD; Luiz F. Ybarra, MD, MBA; Samer Mansour, MD; Alexis Matteau, MD; Harinda C. Wijeysundera, MD, PhD; Anthony Fung, MBBS; Simon Robinson, MD; Jean-Michel Paradis, MD; Can Manh Nguyen, MD; Stéphane Rinfret, MD, SM
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion...
08/19/2024
Journal of Invasive Cardiology
Brief Communication
08/14/2024
Pedro E.P. Carvalho, MD; Athanasios Rempakos, MD; Deniz Mutlu, MD; Michaella Alexandrou, MD; Dimitrios Strepkos, MD; Bavana V. Rangan, BDS, MPH; Olga C. Mastrodemos, BA; Ahmed Al-Ogaili, MD; M. Nicholas Burke, MD; Yader Sandoval, MD; Emmanouil S. Brilakis, MD, PhD
The authors evaluated the JR-CTO score’s performance in patients treated at 44 centers between 2013 and 2024 as part of the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO).
The authors evaluated the JR-CTO score’s performance in patients treated at 44 centers between 2013 and 2024 as part of the Prospective Global Registry for the Study of CTO Intervention (PROGRESS-CTO).
The authors evaluated the JR-CTO...
08/14/2024
Journal of Invasive Cardiology
Original Contribution
08/09/2024
Michaella Alexandrou, MD; Athanasios Rempakos, MD; Deniz Mutlu, MD; Ahmed Al-Ogaili, MD; Pedro E.P. Carvalho, MD; Dimitrios Strepkos, MD; James W. Choi, MD; Paul Poommipanit, MD; Khaldoon Alaswad, MD; Mir Babar Basir, DO; Rhian Davies, DO, MS; Farouc A. Jaffer, MD, PhD; Philip Dattilo, MD; Anthony H. Doing, MD; Lorenzo Azzalini, MD, PhD, MSc; Nazif Aygul, MD; Raj Chandwaney, MD; Brian K. Jefferson, MD; Sevket Gorgulu, MD; Jaikirshan J. Khatri, MD; Laura D. Young, MD; Oleg Krestyaninov, MD; Dmitrii Khelimskii, MD; Jarrod Frizzell, MD; Omer Goktekin, MD; James D. Flaherty, MD; Daniel R. Schimmel, MD, MS; Keith H. Benzuly, MD; Mahmut Uluganyan, MD; Ramazan Ozdemir, MD; Yousif Ahmad, MRCP, PhD, FSCAI, FACC, BMBS; Bavana V. Rangan, BDS, MPH; Olga C. Mastrodemos, BA; M. Nicholas Burke, MD; Konstantinos Voudris, MD; Yader Sandoval, MD; Emmanouil S. Brilakis, MD, PhD
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a...
08/09/2024
Journal of Invasive Cardiology

Videos

EB Top 10
Author Interview
02/03/2025
Emmanouil S. Brilakis, MD, PhD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil S. Brilakis about his Editor’s 2024 Top 10 article, “Update on Chronic Total Occlusion Percutaneous Coronary Intervention”.
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil S. Brilakis about his Editor’s 2024 Top 10 article, “Update on Chronic Total Occlusion Percutaneous Coronary Intervention”.
Dr Deepak L. Bhatt,...
02/03/2025
Journal of Invasive Cardiology
Aquino-Bruno Figure 2
Clinical Videos
01/14/2025
Marco A. Alcántara-Meléndez, MD; Antonio Vargas-Cruz, MD; César L. González-Aguilar, MD; Faustino J. Silva-Centeno, MD; Jesus González-Jasso, MD; Leonel Avendaño-Perez, MD; Rafael Esparza-Corona, MD; Heberto Aquino-Bruno, MD
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel...
01/14/2025
Journal of Invasive Cardiology
Brilakis preview
Author Interview
04/04/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up...
04/04/2024
Journal of Invasive Cardiology
Brilakis preview
Author Interview
04/02/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr...
04/02/2024
Journal of Invasive Cardiology
Figure. Case presentation.
Clinical Videos
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
Video Supplement to "Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery " (Clinical Image).
Video Supplement to "Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery " (Clinical Image).
Video Supplement to "Coronary...
03/04/2024
Journal of Invasive Cardiology
Kaier Video
Video
11/08/2022
Antonis N. Pavlidis, MD, PhD; Thomas E. Kaier, MD, MBA, PhD; Nicholas Aroney, MBBS; Chandan D. Bhavnani, MBBS; Andreas S. Kalogeropoulos, MD, PhD, FRCP; Maciej Marciniak, PhD
Supplemental Video to "Antegrade Dissection Re-entry for Management Of Retained Microcatheter Tips During PCI For Chronic Total Occlusion: A Case Series," by Kaier et al.
Supplemental Video to "Antegrade Dissection Re-entry for Management Of Retained Microcatheter Tips During PCI For Chronic Total Occlusion: A Case Series," by Kaier et al.
Supplemental Video to "Antegrade...
11/08/2022
Journal of Invasive Cardiology
Bhatt and Brilakis
Video
11/07/2022
Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Deepak Bhatt, MD, MPH, Editor-in-Chief of the Journal of Invasive Cardiology (JIC), and Emmanouil Brilakis, MD, PhD, discuss coronary perforation, a rare but potentially life-threatening complication of PCI.
Deepak Bhatt, MD, MPH, Editor-in-Chief of the Journal of Invasive Cardiology (JIC), and Emmanouil Brilakis, MD, PhD, discuss coronary perforation, a rare but potentially life-threatening complication of PCI.
Deepak Bhatt, MD, MPH,...
11/07/2022
Journal of Invasive Cardiology
Bhatt and Brilakis
Video
11/07/2022
Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Emmanouil Brilakis discusses the largest meta-analysis to date investigating the impact of CTO-PCI on clinical events during long-term follow-up. The analysis (Simsek et al), included 58 publications containing a total of 45,527 who underwent...
Emmanouil Brilakis discusses the largest meta-analysis to date investigating the impact of CTO-PCI on clinical events during long-term follow-up. The analysis (Simsek et al), included 58 publications containing a total of 45,527 who underwent...
Emmanouil Brilakis discusses the...
11/07/2022
Journal of Invasive Cardiology
Akhtar CI
Video
04/02/2022
Zaki Akhtar, MBBS; Christos Kontogiannis, MD; Sumeet Sharma, MD
Spontaneous CTO recanalization is rare. Optical coherence tomography permitted comprehensive visualization of the microchannels a 65-year-old CTO patient.
Spontaneous CTO recanalization is rare. Optical coherence tomography permitted comprehensive visualization of the microchannels a 65-year-old CTO patient.
Spontaneous CTO recanalization...
04/02/2022
Journal of Invasive Cardiology
Video: Triple-Access Retrograde CTO Treatment Via Vein Graft and Epicardial Collaterals
Videos
06/01/2020
In selected CTO cases, triple access may facilitate the retrograde approach, allowing optimal collateral visualization.
In selected CTO cases, triple access may facilitate the retrograde approach, allowing optimal collateral visualization.
In selected CTO cases, triple...
06/01/2020
Journal of Invasive Cardiology
Ho Figure 1
Clinical Videos
04/15/2025
Video Supplement to "Real-Time IVUS-Guided Minimal CRUSH for Bifurcation Stenting: The IM-CRUSH Technique" (Clinical Image).
Video Supplement to "Real-Time IVUS-Guided Minimal CRUSH for Bifurcation Stenting: The IM-CRUSH Technique" (Clinical Image).
Video Supplement to "Real-Time...
04/15/2025
Journal of Invasive Cardiology
Murai Figure
Clinical Videos
04/09/2025
Video Supplement to "Intravascular Lithotripsy for In-Stent Calcified Neoatherosclerosis" (Clinical Image).
Video Supplement to "Intravascular Lithotripsy for In-Stent Calcified Neoatherosclerosis" (Clinical Image).
Video Supplement to...
04/09/2025
Journal of Invasive Cardiology
Agstam Figure
Clinical Videos
04/07/2025
Video Supplement to "Tenecteplase-Assisted Transapical Drainage of Tuberculous Pyopericardium" (Clinical Image).
Video Supplement to "Tenecteplase-Assisted Transapical Drainage of Tuberculous Pyopericardium" (Clinical Image).
Video Supplement to...
04/07/2025
Journal of Invasive Cardiology
Sarma Top 10
Author Interview
03/28/2025
Dhruv Sarma, BM, BCh
JIC catches up with Dr Dhruv Sarma about his Editor’s 2024 Top 10 article, “Acute Coronary Occlusion and Percutaneous Coronary Intervention After Out-of-Hospital Cardiac Arrest”.
JIC catches up with Dr Dhruv Sarma about his Editor’s 2024 Top 10 article, “Acute Coronary Occlusion and Percutaneous Coronary Intervention After Out-of-Hospital Cardiac Arrest”.
JIC catches up with Dr Dhruv...
03/28/2025
Journal of Invasive Cardiology
Ramlawi image
CRT Conference Coverage
03/28/2025
Basel Ramlawi, MD
In this video from CRT 2025, JIC speaks with Dr Basel Ramlawi of the Lankenau Heart Institute about the role of epicardial left atrial appendage exclusion in atrial fibrillation stroke prevention.
In this video from CRT 2025, JIC speaks with Dr Basel Ramlawi of the Lankenau Heart Institute about the role of epicardial left atrial appendage exclusion in atrial fibrillation stroke prevention.
In this video from CRT 2025, JIC...
03/28/2025
Journal of Invasive Cardiology
ES image
CRT Conference Coverage
03/18/2025
Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI
In this video from CRT 2025, JIC speaks with Dr Eric Secemsky of the Beth Israel Deaconness Medical Center about the future of renal denervation in atrial fibrillation treatment.
In this video from CRT 2025, JIC speaks with Dr Eric Secemsky of the Beth Israel Deaconness Medical Center about the future of renal denervation in atrial fibrillation treatment.
In this video from CRT 2025, JIC...
03/18/2025
Journal of Invasive Cardiology
ALAD image
Author Interview
03/06/2025
Andrew Ladwiniec, MD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Andrew Ladwiniec about his Editor’s 2024 Top 10 article, “Complex Percutaneous Coronary Intervention in Patients Unable to Undergo Coronary Artery...
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Andrew Ladwiniec about his Editor’s 2024 Top 10 article, “Complex Percutaneous Coronary Intervention in Patients Unable to Undergo Coronary Artery...
Dr Deepak L. Bhatt,...
03/06/2025
Journal of Invasive Cardiology
J-C Top 10
Author Interview
03/05/2025
Josep Rodés-Cabau, MD, PhD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Josep Rodés-Cabau about his Editor’s 2024 Top 10 article, “Sensor-Guided Transcatheter Aortic Valve Replacement”.
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Josep Rodés-Cabau about his Editor’s 2024 Top 10 article, “Sensor-Guided Transcatheter Aortic Valve Replacement”.
Dr Deepak L. Bhatt,...
03/05/2025
Journal of Invasive Cardiology
Aparna image
Author Interview
03/03/2025
Aparna Kuchibhatla
Aparna Kuchibhatla shares background and insights on her article, "Transcatheter or Surgical Aortic Valve Replacement in Pregnant Women? A Comprehensive Review of the Current Literature".
Aparna Kuchibhatla shares background and insights on her article, "Transcatheter or Surgical Aortic Valve Replacement in Pregnant Women? A Comprehensive Review of the Current Literature".
Aparna Kuchibhatla shares...
03/03/2025
Journal of Invasive Cardiology
Nagy image
Author Interview
03/03/2025
Christian D. Nagy, MD
Dr Christian D. Nagy shares background and insights on his article, "Comparison of Two Vascular Closure Device Strategies for Transfemoral Transcatheter Aortic Valve Replacement Using Suture-Based and Collagen-Plug-Based Techniques and...
Dr Christian D. Nagy shares background and insights on his article, "Comparison of Two Vascular Closure Device Strategies for Transfemoral Transcatheter Aortic Valve Replacement Using Suture-Based and Collagen-Plug-Based Techniques and...
Dr Christian D. Nagy shares...
03/03/2025
Journal of Invasive Cardiology

Clinical Images

Clinical Images
01/13/2025
Marco A. Alcántara-Meléndez, MD; Antonio Vargas-Cruz, MD; César L. González-Aguilar, MD; Faustino J. Silva-Centeno, MD; Jesus González-Jasso, MD; Leonel Avendaño-Perez, MD; Rafael Esparza-Corona, MD; Heberto Aquino-Bruno, MD
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Clinical Images
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had...
03/04/2024
Journal of Invasive Cardiology
Clinical Images
02/13/2024
Tak-Shun Chung, MD, MBBS; Sui-Fung Wong, MBChB; Hiu-Cheong Chow, MBBS
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted...
02/13/2024
Journal of Invasive Cardiology
Clinical Images
11/17/2023
Michalis Koutouzis, MD, PhD; Theodoros Zografos, MD, PhD; Konstantina Katsanou, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Ioannis Tsiafoutis, MD
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred...
11/17/2023
Journal of Invasive Cardiology
Clinical Images
04/01/2023
Marin Pavlov, MD, PhD; Tomislava Bodrozic Dzakic, MD
A 60-year-old male with chronic obstructive pulmonary disease and active smoking was admitted for positive treadmill test. He reported exertional chest pain 4 months ago; however, since then he had been symptom free. Echocardiography showed...
A 60-year-old male with chronic obstructive pulmonary disease and active smoking was admitted for positive treadmill test. He reported exertional chest pain 4 months ago; however, since then he had been symptom free. Echocardiography showed...
A 60-year-old male with chronic...
04/01/2023
Journal of Invasive Cardiology
Clinical Images
04/01/2023
Borja Rivero-Santana, MD; Jose Luis Merino, MD, PhD; Raúl Moreno-Gómez, MD, PhD; Alfonso Jurado-Román, MD, PhD; Guillermo Galeote, MD, PhD; Santiago Jimenez-Valero, MD, PhD
A 69-year-old male with atrial fibrillation radiofrequency ablation 2 years ago was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. A cardiac computed tomography (CT) scan...
A 69-year-old male with atrial fibrillation radiofrequency ablation 2 years ago was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. A cardiac computed tomography (CT) scan...
A 69-year-old male with atrial...
04/01/2023
Journal of Invasive Cardiology
Clinical Images
06/01/2022
Gerald S. Werner, MD, PhD; David M. Leistner; Youssef S. Abdelwahed, MD; Edna Blum, MD; Ulf Landmesser, MD
A 57-year-old male complaining of recurrent chest pain was admitted for recanalization of a chronic total occlussion (CTO) of the left anterior descending (LAD) artery. Ten years earlier, the patient underwent a coronary artery bypass graft...
A 57-year-old male complaining of recurrent chest pain was admitted for recanalization of a chronic total occlussion (CTO) of the left anterior descending (LAD) artery. Ten years earlier, the patient underwent a coronary artery bypass graft...
A 57-year-old male complaining...
06/01/2022
Journal of Invasive Cardiology
Clinical Images
04/01/2022
Zaki Akhtar, MBBS; Christos Kontogiannis, MD; Sumeet Sharma, MD
A 65-year-old man with a prior history of pulmonary embolism was admitted with resting chest pain. High-sensitive troponin level was normal (32 ng/L [0-40]) and physical examination was unremarkable. The 12-lead electrocardiogram revealed...
A 65-year-old man with a prior history of pulmonary embolism was admitted with resting chest pain. High-sensitive troponin level was normal (32 ng/L [0-40]) and physical examination was unremarkable. The 12-lead electrocardiogram revealed...
A 65-year-old man with a prior...
04/01/2022
Journal of Invasive Cardiology
Triple-Access Retrograde Chronic Total Occlusion Intervention Through Vein Graft and Epicardial Collaterals
Clinical Images
05/30/2020
Ioannis Tsiafoutis, MD; Michalis Koutouzis, MD, PhD; Konstantina Katsanou, MD; Athanasios Antonakopoulos, MD, MSc; Apostolos Katsivas, MD, PhD; Catherine Liontou, MD
J INVASIVE CARDIOL 2020;32(6):E172-173. doi:10.25270/jic/19.00394 Key words: chronic total occlusion, saphenous vein graft
J INVASIVE CARDIOL 2020;32(6):E172-173. doi:10.25270/jic/19.00394 Key words: chronic total occlusion, saphenous vein graft
J INVASIVE CARDIOL...
05/30/2020
Journal of Invasive Cardiology
CTO 5 Years After Bioresorbable Vascular Scaffold Implantation: A Serial Optical Coherence Tomography Assessment
Clinical Images
04/29/2020
Dorota Ochijewicz, MD; Lukasz Kołtowski, MD, PhD; Janusz Kochman, MD, PhD; Mariusz Tomaniak, MD, PhD
Angiography at 60 mo. post implantation of an Absorb bioresorbable vascular scaffold (Abbott Vascular) revealed a total occlusion at the distal scaffold. Within the proximal edge, OCT showed complete absorption of stent struts with a...
Angiography at 60 mo. post implantation of an Absorb bioresorbable vascular scaffold (Abbott Vascular) revealed a total occlusion at the distal scaffold. Within the proximal edge, OCT showed complete absorption of stent struts with a...
Angiography at 60 mo. post...
04/29/2020
Journal of Invasive Cardiology
Clinical Images
04/15/2025
Cheuk Bong Ho, MBBS; Calvin Leung, MBChB; Michael Chi Shing Chiang, MBBS; Esmond Yan Hang Fong, MBBS; Shing Fung Chui, MBBS; Ka Chun Chan, MBBS; Chi Yuen Wong, MBBS; Michael Kang Yin Lee, MBBS
A 72-year-old woman with diabetic nephropathy was admitted for non-ST segment elevation myocardial infarction. She had undergone percutaneous coronary intervention to the ostial left anterior descending and left circumflex arteries 2 years...
A 72-year-old woman with diabetic nephropathy was admitted for non-ST segment elevation myocardial infarction. She had undergone percutaneous coronary intervention to the ostial left anterior descending and left circumflex arteries 2 years...
A 72-year-old woman with...
04/15/2025
Journal of Invasive Cardiology
Clinical Images
04/09/2025
Keima Wayama, MD; Kota Murai, MD, PhD; Teruo Noguchi, MD, PhD
An 80-year-old man with a history of acute inferior myocardial infarction was admitted to our hospital. He had undergone bare-metal stent (3.5/28 mm) implantation in the mid-right coronary artery 22 years prior.
An 80-year-old man with a history of acute inferior myocardial infarction was admitted to our hospital. He had undergone bare-metal stent (3.5/28 mm) implantation in the mid-right coronary artery 22 years prior.
An 80-year-old man with a...
04/09/2025
Journal of Invasive Cardiology
Clinical Images
04/07/2025
Venkatakrishnan Ramakumar, MD, DM; Durlabhesh Rawat, MD, DM; Sourabh Agstam, MD, DM
A 35-year-old man with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and a CD4 count of 61 cells per mm3 (normal range: 500-1200 cells/mm3) presented with worsening shortness of breath and orthopnoea over the...
A 35-year-old man with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and a CD4 count of 61 cells per mm3 (normal range: 500-1200 cells/mm3) presented with worsening shortness of breath and orthopnoea over the...
A 35-year-old man with human...
04/07/2025
Journal of Invasive Cardiology
Clinical Images
03/03/2025
Jason H. Anderson, MD; Gareth J. Morgan, MD; Jenny E. Zablah, MD; Allison K. Cabalka, MD
This study demonstrates that the Alterra and SAPIEN 3 system can be over-expanded, enabling valve sizing based on achieved dilation rather than pre-determined diameters.
This study demonstrates that the Alterra and SAPIEN 3 system can be over-expanded, enabling valve sizing based on achieved dilation rather than pre-determined diameters.
This study demonstrates that the...
03/03/2025
Journal of Invasive Cardiology
Clinical Images
02/28/2025
Yasuhiro Tanabe, MD, PhD; Taturo Shouji, MD; Ryutaro Oda, MD; Daisuke Miyahara, MD; Yukio Sato, MD, PhD; Taishi Okuno, MD; Shingo Kuwata, MD, PhD; Masaki Izumo, MD, PhD; Yoshihiro J. Akashi, MD, PhD
A 68-year-old woman with cryptogenic stroke underwent transcatheter patent foramen ovale closure with a 25-mm GORE CARDIOFORM Septal Occluder device.
A 68-year-old woman with cryptogenic stroke underwent transcatheter patent foramen ovale closure with a 25-mm GORE CARDIOFORM Septal Occluder device.
A 68-year-old woman with...
02/28/2025
Journal of Invasive Cardiology
Clinical Images
02/28/2025
Simon Cheung-Chi Lam, MBBS; Michael Shu-Yue Sze, MBBS; Chun-Ka Wong, MBBS; Kwong-yue Eric Chan, MBBS; Ka-chun Un, MBBS, MRes; On-Yat Wong, MBBS; Ming Lau, MBBS; Ho-on Alston Conrad Chiu, MBBS; Daniel Tai-Leung Chan, MBBS
The authors propose the Unilateral Folding of the anterior mitral valve leaflet (UNIFOLD) as a novel mechanism to prevent left ventricular outflow tract obstruction.
The authors propose the Unilateral Folding of the anterior mitral valve leaflet (UNIFOLD) as a novel mechanism to prevent left ventricular outflow tract obstruction.
The authors propose the...
02/28/2025
Journal of Invasive Cardiology
Clinical Images
02/21/2025
Kaitlyn Krebushevski, DO; Allison K. Cabalka, MD; Suraj Yalamuri, MD; Arashk Motiei, MD; William J. Mauermann, MD; Jeffrey R. Weatherhead, MD; Jason H. Anderson, MD
This case highlights the critical role of mechanical circulatory support in managing complex cardiopulmonary complications of metastatic malignancy.
This case highlights the critical role of mechanical circulatory support in managing complex cardiopulmonary complications of metastatic malignancy.
This case highlights the...
02/21/2025
Journal of Invasive Cardiology
Clinical Images
02/21/2025
Leo Kar Lok Lai, MD; Hussayn Alrayes, DO; Georgi Fram, MD; James C. Lee, MD; Bryan Zweig, MD; Brian P. O'Neill, MD; Tiberio M. Frisoli, MD; Pedro Engel Gonzalez, MD; William W. O'Neill, MD; Pedro A. Villablanca, MD
The authors demonstrate how to use the PASCAL guide to assist in iatrogenic atrial septal defect closure.
The authors demonstrate how to use the PASCAL guide to assist in iatrogenic atrial septal defect closure.
The authors demonstrate how to...
02/21/2025
Journal of Invasive Cardiology
Clinical Images
02/21/2025
Jie Wang, MD; Ping Hu, MD; Ming Qi, MD; Xiao-Jing Ma, PhD
A 72-year-old woman presented with acute onset of abdominal pain accompanied by nausea and vomiting for 10 hours. Computed tomography angiography revealed a ruptured abdominal aortic aneurysm with extensive intraperitoneal hemorrhage.
A 72-year-old woman presented with acute onset of abdominal pain accompanied by nausea and vomiting for 10 hours. Computed tomography angiography revealed a ruptured abdominal aortic aneurysm with extensive intraperitoneal hemorrhage.
A 72-year-old woman presented...
02/21/2025
Journal of Invasive Cardiology
Clinical Images
02/21/2025
Kwong-yue Eric Chan, MBBS; Daniel Tai-Leung Chan, MBBS; Simon Cheung-Chi Lam, MBBS; Michael Shu-Yue Sze, MBBS; Ka-Chun Un, MBBS, MRes(Med); Yui-Ming Lam, MBBS; Ricky Wang-Hei Leung, MBBS; Jamilla Li, MBBS; Helen Wong, MBBS; Harinder Gill, MBBS, MD; Chun-Ka Wong, MBBS
The authors introduce a simplified BATMAN workflow using a VersaCross and a 14-mm balloon for both septum and A2 fenestration, and outline an approach to post-transcatheter mitral valve replacement hemolysis.
The authors introduce a simplified BATMAN workflow using a VersaCross and a 14-mm balloon for both septum and A2 fenestration, and outline an approach to post-transcatheter mitral valve replacement hemolysis.
The authors introduce a...
02/21/2025
Journal of Invasive Cardiology