Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

"Single Arm-Double Access" for CTO Intervention.

Michael Koutouzis, Eleftherios Kontopodis1, Andreas Tassopoulos

  • 12nd Department of Cardiology, Hellenic Red Cross Hospital, Athanasaki 1, GR 11526, Athens, Greece. ekontopodis@gmail.com.

The Journal of Invasive Cardiology
|January 6, 2019
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Side-branch rescue through balloon deflection technique.

Coronary artery disease·2026
Same author

Transulnar access in patients with ipsilateral radial artery occlusion undergoing coronary angiography or angioplasty: Rationale and design of the ULNART study.

Cardiovascular revascularization medicine : including molecular interventions·2026
Same author

A challenging case of left main chronic total occlusion and the reverse T-stenting and small protrusion (TAP) technique: success with the investment strategy.

The Journal of invasive cardiology·2026
Same author

Consensus referral pathway for the clinical use of renal denervation in uncontrolled hypertension: a joint statement by the Hellenic Society of Hypertension, the Hellenic Society of Cardiology (WGs "Hypertension and Heart" and "Interventional Cardiology"), the Hellenic Society of Nephrology and the Hellenic Academy of General Practice/Family Medicine and Primary Health Care.

Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese·2026
Same author

Laser application in severe stent underexpansion.

The Journal of invasive cardiology·2025
Same author

Endovascular exclusion of a giant right coronary artery aneurysm using a stent-scaffold technique.

Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese·2025
Same journal

Sex differences in reverse remodeling after transcatheter aortic valve replacement in low-flow aortic stenosis.

The Journal of invasive cardiology·2026
Same journal

Coronary computed tomography angiography to guide percutaneous coronary intervention: proceedings from the 1st CCTA-guided PCI summit in the United States.

The Journal of invasive cardiology·2026
Same journal

When not to pull: radial srtery spasm, catheter entrapment, and the value of waiting.

The Journal of invasive cardiology·2026
Same journal

Severe coronary vasospasm mimicking STEMI after drug-coated balloon angioplasty.

The Journal of invasive cardiology·2026
Same journal

Imaging insights into endothelial response: cardiac computed tomography assessment of WATCHMAN FLX and FLX Pro.

The Journal of invasive cardiology·2026
Same journal

Differential effect of chronic kidney disease on right-sided extravalvular damage in low-flow, low-gradient aortic stenosis.

The Journal of invasive cardiology·2026
See all related articles

This study reports a novel dual-access approach for coronary total occlusion (CTO) intervention, combining transradial and transulnar access. This single-arm, double-access technique offers a feasible alternative for complex CTO procedures, especially when access sites are limited.

Area of Science:

  • Interventional Cardiology
  • Vascular Access Techniques

Background:

  • Coronary total occlusion (CTO) interventions are complex procedures often requiring specialized access strategies.
  • Limited availability of suitable access sites can pose significant challenges in retrograde CTO interventions.

Observation:

  • This case report details the first documented dual-access approach for CTO intervention.
  • The technique utilized simultaneous transradial and ipsilateral transulnar access within the same arm.

Findings:

  • The described dual-access strategy was successfully employed for a retrograde CTO intervention.
  • This approach demonstrated feasibility in managing a challenging CTO case.

Implications:

  • A single arm-double access strategy may be a viable alternative for CTO intervention.
Keywords:
access sitechronic total occlusionright coronary artery

Related Experiment Videos

  • This approach could expand treatment options for patients with limited vascular access sites, improving outcomes in complex coronary interventions.