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Related Experiment Video

Updated: Jun 19, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

Advanced wiring technique for chronic coronary total occlusions.

Etsuo Tsuchikane1, Osamu Katoh, Takahiko Suzuki

  • 1Toyohashi Heart Center, Department of Cardiology, Gobudori 21-1, Oyama, Toyohashi, Aichi, 441-8530, Japan. dokincha@aioros.ocn.ne.jp

Future Cardiology
|October 7, 2009
PubMed
Summary

Percutaneous coronary intervention for chronic total occlusion (CTO-PCI) is challenging due to guidewire failure. This article explores advanced wiring techniques developed by the Japanese CTO club to improve success rates.

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Area of Science:

  • Interventional Cardiology
  • Cardiovascular Interventions

Background:

  • Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) presents significant challenges in interventional cardiology.
  • Low procedural success rates are primarily attributed to difficulties in guidewire traversal across the occluded artery.

Purpose of the Study:

  • To explore advanced wiring techniques for CTO-PCI.
  • To enhance the success rate of CTO-PCI by detailing methods developed by the Japanese CTO club.

Main Methods:

  • Review and exploration of advanced wiring techniques.
  • Focus on methods developed within the Japanese CTO club framework.

Main Results:

  • Procedural success in CTO-PCI is highly dependent on effective wiring techniques.

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Last Updated: Jun 19, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Published on: April 24, 2017

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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
04:56

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  • Operator experience and skill significantly influence guidewire crossing success.

    • Conclusions:

    • Advanced wiring techniques are crucial for improving CTO-PCI success rates.
    • The Japanese CTO club has developed innovative strategies to overcome CTO challenges.