The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report

Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrad...
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Autor*in:	Juričić Stefan [verfasserIn] Tešić Milorad [verfasserIn] Dobrić Milan [verfasserIn] Aleksandrić Srđan [verfasserIn] Mehmedbegović Zlatko [verfasserIn] Stanković Goran [verfasserIn] Orlić Dejan [verfasserIn] Beleslin Branko [verfasserIn] Stojković Siniša [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; srp

Erschienen:	2022

Schlagwörter:	coronary occlusion endovascular procedures methods percutaneous coronary intervention

Übergeordnetes Werk:	In: Vojnosanitetski Pregled - Military Health Department, Ministry of Defance, Serbia, 2012, 79(2022), 5, Seite 503-509
Übergeordnetes Werk:	volume:79 ; year:2022 ; number:5 ; pages:503-509

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.2298/VSP200606124J

Katalog-ID:	DOAJ033000379

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allfields	10.2298/VSP200606124J doi (DE-627)DOAJ033000379 (DE-599)DOAJ8caa74a1627148dd9b432616960da726 DE-627 ger DE-627 rakwb eng srp R5-920 Juričić Stefan verfasserin aut The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently. coronary occlusion endovascular procedures methods percutaneous coronary intervention Medicine (General) Tešić Milorad verfasserin aut Dobrić Milan verfasserin aut Aleksandrić Srđan verfasserin aut Mehmedbegović Zlatko verfasserin aut Stanković Goran verfasserin aut Orlić Dejan verfasserin aut Beleslin Branko verfasserin aut Stojković Siniša verfasserin aut In Vojnosanitetski Pregled Military Health Department, Ministry of Defance, Serbia, 2012 79(2022), 5, Seite 503-509 (DE-627)474382613 (DE-600)2169819-3 24060720 nnns volume:79 year:2022 number:5 pages:503-509 https://doi.org/10.2298/VSP200606124J kostenfrei https://doaj.org/article/8caa74a1627148dd9b432616960da726 kostenfrei http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000124J.pdf kostenfrei https://doaj.org/toc/0042-8450 Journal toc kostenfrei https://doaj.org/toc/2406-0720 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 79 2022 5 503-509
spelling	10.2298/VSP200606124J doi (DE-627)DOAJ033000379 (DE-599)DOAJ8caa74a1627148dd9b432616960da726 DE-627 ger DE-627 rakwb eng srp R5-920 Juričić Stefan verfasserin aut The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently. coronary occlusion endovascular procedures methods percutaneous coronary intervention Medicine (General) Tešić Milorad verfasserin aut Dobrić Milan verfasserin aut Aleksandrić Srđan verfasserin aut Mehmedbegović Zlatko verfasserin aut Stanković Goran verfasserin aut Orlić Dejan verfasserin aut Beleslin Branko verfasserin aut Stojković Siniša verfasserin aut In Vojnosanitetski Pregled Military Health Department, Ministry of Defance, Serbia, 2012 79(2022), 5, Seite 503-509 (DE-627)474382613 (DE-600)2169819-3 24060720 nnns volume:79 year:2022 number:5 pages:503-509 https://doi.org/10.2298/VSP200606124J kostenfrei https://doaj.org/article/8caa74a1627148dd9b432616960da726 kostenfrei http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000124J.pdf kostenfrei https://doaj.org/toc/0042-8450 Journal toc kostenfrei https://doaj.org/toc/2406-0720 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 79 2022 5 503-509
allfields_unstemmed	10.2298/VSP200606124J doi (DE-627)DOAJ033000379 (DE-599)DOAJ8caa74a1627148dd9b432616960da726 DE-627 ger DE-627 rakwb eng srp R5-920 Juričić Stefan verfasserin aut The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently. coronary occlusion endovascular procedures methods percutaneous coronary intervention Medicine (General) Tešić Milorad verfasserin aut Dobrić Milan verfasserin aut Aleksandrić Srđan verfasserin aut Mehmedbegović Zlatko verfasserin aut Stanković Goran verfasserin aut Orlić Dejan verfasserin aut Beleslin Branko verfasserin aut Stojković Siniša verfasserin aut In Vojnosanitetski Pregled Military Health Department, Ministry of Defance, Serbia, 2012 79(2022), 5, Seite 503-509 (DE-627)474382613 (DE-600)2169819-3 24060720 nnns volume:79 year:2022 number:5 pages:503-509 https://doi.org/10.2298/VSP200606124J kostenfrei https://doaj.org/article/8caa74a1627148dd9b432616960da726 kostenfrei http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000124J.pdf kostenfrei https://doaj.org/toc/0042-8450 Journal toc kostenfrei https://doaj.org/toc/2406-0720 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 79 2022 5 503-509
allfieldsGer	10.2298/VSP200606124J doi (DE-627)DOAJ033000379 (DE-599)DOAJ8caa74a1627148dd9b432616960da726 DE-627 ger DE-627 rakwb eng srp R5-920 Juričić Stefan verfasserin aut The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently. coronary occlusion endovascular procedures methods percutaneous coronary intervention Medicine (General) Tešić Milorad verfasserin aut Dobrić Milan verfasserin aut Aleksandrić Srđan verfasserin aut Mehmedbegović Zlatko verfasserin aut Stanković Goran verfasserin aut Orlić Dejan verfasserin aut Beleslin Branko verfasserin aut Stojković Siniša verfasserin aut In Vojnosanitetski Pregled Military Health Department, Ministry of Defance, Serbia, 2012 79(2022), 5, Seite 503-509 (DE-627)474382613 (DE-600)2169819-3 24060720 nnns volume:79 year:2022 number:5 pages:503-509 https://doi.org/10.2298/VSP200606124J kostenfrei https://doaj.org/article/8caa74a1627148dd9b432616960da726 kostenfrei http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000124J.pdf kostenfrei https://doaj.org/toc/0042-8450 Journal toc kostenfrei https://doaj.org/toc/2406-0720 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 79 2022 5 503-509
allfieldsSound	10.2298/VSP200606124J doi (DE-627)DOAJ033000379 (DE-599)DOAJ8caa74a1627148dd9b432616960da726 DE-627 ger DE-627 rakwb eng srp R5-920 Juričić Stefan verfasserin aut The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently. coronary occlusion endovascular procedures methods percutaneous coronary intervention Medicine (General) Tešić Milorad verfasserin aut Dobrić Milan verfasserin aut Aleksandrić Srđan verfasserin aut Mehmedbegović Zlatko verfasserin aut Stanković Goran verfasserin aut Orlić Dejan verfasserin aut Beleslin Branko verfasserin aut Stojković Siniša verfasserin aut In Vojnosanitetski Pregled Military Health Department, Ministry of Defance, Serbia, 2012 79(2022), 5, Seite 503-509 (DE-627)474382613 (DE-600)2169819-3 24060720 nnns volume:79 year:2022 number:5 pages:503-509 https://doi.org/10.2298/VSP200606124J kostenfrei https://doaj.org/article/8caa74a1627148dd9b432616960da726 kostenfrei http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000124J.pdf kostenfrei https://doaj.org/toc/0042-8450 Journal toc kostenfrei https://doaj.org/toc/2406-0720 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 79 2022 5 503-509
language	English
source	In Vojnosanitetski Pregled 79(2022), 5, Seite 503-509 volume:79 year:2022 number:5 pages:503-509
sourceStr	In Vojnosanitetski Pregled 79(2022), 5, Seite 503-509 volume:79 year:2022 number:5 pages:503-509
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	coronary occlusion endovascular procedures methods percutaneous coronary intervention Medicine (General)
isfreeaccess_bool	true
container_title	Vojnosanitetski Pregled
authorswithroles_txt_mv	Juričić Stefan @@aut@@ Tešić Milorad @@aut@@ Dobrić Milan @@aut@@ Aleksandrić Srđan @@aut@@ Mehmedbegović Zlatko @@aut@@ Stanković Goran @@aut@@ Orlić Dejan @@aut@@ Beleslin Branko @@aut@@ Stojković Siniša @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	474382613
id	DOAJ033000379
language_de	englisch
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callnumber-first	R - Medicine
author	Juričić Stefan
spellingShingle	Juričić Stefan misc R5-920 misc coronary occlusion misc endovascular procedures misc methods misc percutaneous coronary intervention misc Medicine (General) The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report
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topic_title	R5-920 The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report coronary occlusion endovascular procedures methods percutaneous coronary intervention
topic	misc R5-920 misc coronary occlusion misc endovascular procedures misc methods misc percutaneous coronary intervention misc Medicine (General)
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title	The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report
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title_full	The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report
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author_browse	Juričić Stefan Tešić Milorad Dobrić Milan Aleksandrić Srđan Mehmedbegović Zlatko Stanković Goran Orlić Dejan Beleslin Branko Stojković Siniša
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title_sort	retrograde technique for recanalization of chronically occluded coronary arteries: case series report
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title_auth	The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report
abstract	Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently.
abstractGer	Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently.
abstract_unstemmed	Introduction. Chronic total occlusion (CTO) of the coronary artery still represents one of the most challenging lesion subsets in the field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Case report. We present a series of cases describing the retrograde approach as a special technique for treating CTO of the coronary artery. All cases had some special characteristics that are part of a dedicated portfolio in every catheterization lab today. In our series of cases, all three percutaneous coronary interventions (PCI) with a different strategies of the retrograde approach and supported with rotational atherectomy or intravascular ultrasound finished with successful recanalization of CTO. Conclusion. In cases where there is the presence of “interventional” collaterals, as well as when the antegrade approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to per-form the procedure independently.
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title_short	The retrograde technique for recanalization of chronically occluded coronary arteries: Case series report
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