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10.2174/1573403X11666150909113026 http://scihub22266oqcxt.onion/10.2174/1573403X11666150909113026 C4774633/?report=reader!4774633!26354507     free     free     free Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Curr+Cardiol+Rev 2015 ; 11 (4): 299-304 Nephropedia Template TP {{tp|p=26354507|t=2015. The Hybrid Approach to Intervention of Chronic Total Occlusions |pdf=|usr=}}{{26354507}} gab.com Text The Hybrid Approach to Intervention of Chronic Total Occlusions JO: Curr Cardiol Rev http://www.kidney.de/pget.php?&tw=1&pmid=26354507 #FOAvip The ?hybrid? approach to chronic total occlusion (CTO) percutaneous coronary intervention (PCI) was developed to provide guidance on optimal crossing strategy selection. Dual angiography remains the cornerstone of clinical decision making in CTO PCI. Four angiographic parameters are assessed: (a) morphology of the proximal cap (clear-cut or ambiguous); (b) oc-clusion length; (c) distal vessel size and presence of bifurcations beyond the distal cap; and (d) location and suitability of a retrograde con-duit (collateral channels or bypass grafts) for retrograde access. Antegrade wire escalation is favored for short (<20 mm) occlusions, usually escalating rapidly from a soft tapered-tip polymer-jacketed guidewire to a stiff polymer-jacketed or tapered-tip guidewire. Antegrade dissection/re-entry is favored in long (?20 mm long) occlusions, try-ing to minimize the dissection length by re-entering into the distal true lumen immediately after the occlusion. Primary retro-grade approach is preferred for lesions with an ambiguous proximal cap, poor distal target, good interventional collaterals, and heavy calcification, as well as chronic kidney disease. The ?hybrid? approach advocates early change between strategies to enable CTO crossing in the most efficacious, efficient, and safe way. Several early studies are demonstrating high success and low complication rates with use of the ?hybrid? approach, supporting its expanding use in CTO PCI. . Twit Text FOAVip The Hybrid Approach to Intervention of Chronic Total Occlusions ????Curr Cardiol Rev http://www.kidney.de/pget.php?&tw=1&pmid=26354507 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26354507 #FOAvip English Wikipedia <ref>{{Cite pmid|26354507}}</ref> The Hybrid Approach to Intervention of Chronic Total Occlusions #MMPMID26354507 Rangan BV; Kotsia A; Christopoulos G; Spratt J; Rinfret S; Banerjee S; Brilakis ES Curr Cardiol Rev 2015[Nov]; 11 (4): 299-304 PMID26354507show ga The ?hybrid? approach to chronic total occlusion (CTO) percutaneous coronary intervention (PCI) was developed to provide guidance on optimal crossing strategy selection. Dual angiography remains the cornerstone of clinical decision making in CTO PCI. Four angiographic parameters are assessed: (a) morphology of the proximal cap (clear-cut or ambiguous); (b) oc-clusion length; (c) distal vessel size and presence of bifurcations beyond the distal cap; and (d) location and suitability of a retrograde con-duit (collateral channels or bypass grafts) for retrograde access. Antegrade wire escalation is favored for short (<20 mm) occlusions, usually escalating rapidly from a soft tapered-tip polymer-jacketed guidewire to a stiff polymer-jacketed or tapered-tip guidewire. Antegrade dissection/re-entry is favored in long (?20 mm long) occlusions, try-ing to minimize the dissection length by re-entering into the distal true lumen immediately after the occlusion. Primary retro-grade approach is preferred for lesions with an ambiguous proximal cap, poor distal target, good interventional collaterals, and heavy calcification, as well as chronic kidney disease. The ?hybrid? approach advocates early change between strategies to enable CTO crossing in the most efficacious, efficient, and safe way. Several early studies are demonstrating high success and low complication rates with use of the ?hybrid? approach, supporting its expanding use in CTO PCI. . äThe Hybrid Approach to Intervention of Chronic Total Occlusions (epmc).pdf DeepDyve Pubget Overpricing