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Single Sheath for Dual Injection Prior to CTO Intervention
Eleftherios Kontopodis1, Nikolaos Oikonomidis, Ioannis Tsiafoutis
12nd Department of Cardiology, Hellenic Red Cross Hospital, Athanasaki 1, GR 11526, Athens, Greece. ekontopodis@gmail.com.
The Journal of Invasive Cardiology
|December 2, 2019
Summary
This study reports the first dual injection technique using a single sheath for evaluating chronic total occlusions (CTOs) and planning interventions. This novel approach aids in complex coronary artery disease assessment.
Area of Science:
- Interventional Cardiology
- Vascular Imaging
Background:
- Chronic total occlusions (CTOs) present significant challenges in percutaneous coronary intervention.
- Accurate pre-procedural evaluation is crucial for successful CTO intervention planning.
Observation:
- A novel dual injection technique was performed using a single vascular sheath.
- This technique allowed for simultaneous contrast opacification of both the proximal and distal segments of the CTO.
Findings:
- The single-sheath dual injection approach successfully visualized the entire length of the CTO.
- This method provided detailed anatomical information for intervention planning.
- It represents a potentially safer and more efficient alternative to conventional methods.
Implications:
- This technique may improve the success rates of CTO interventions.
- It offers a new strategy for complex coronary lesion assessment.
- Further studies are warranted to validate its efficacy and safety.

