Successful treatment by recross IVUS-guided reentry in coronary total occlusion: STRIVE-CTO

Area of Science:

• Interventional Cardiology
• Cardiovascular Interventions
• Medical Device Technology

Background:

• Percutaneous treatment of complex coronary total occlusions (CTO) remains challenging, especially when antegrade or retrograde approaches fail.
• Antegrade dissection reentry is a bailout strategy but has limitations, including system delivery issues and hematoma complications.
• Existing techniques struggle with precise reentry into the true lumen, impacting CTO recanalization success.

Observation:

• A new technique combines the Recross MC Dual Microcatheter with real-time intravascular ultrasound (IVUS) for CTO interventions.
• This approach allows for accurate selection of the reentry zone.
• It enables precise and controlled puncturing into the true lumen.

Findings:

• The integrated Recross MC Dual Microcatheter and IVUS guidance facilitates refined re-wiring in CTO interventions.
• This method improves the accuracy of reentry zone selection.
• It leads to precise, controlled puncturing into the true lumen for successful CTO recanalization.

Implications:

• This innovative technique offers a safer and more predictable solution for complex CTO recanalization.
• It addresses limitations of current antegrade dissection reentry methods.
• The approach has the potential to improve outcomes for patients with challenging coronary artery disease.