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Updated: May 20, 2025

Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
Published on: January 15, 2022
Insights into the Global Total Occlusion Crossing Algorithm
Ahmed Al-Ogaili1, Emmanouil S Brilakis1
1Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital Minneapolis, MN, US.
Abstract:
An algorithmic approach to chronic total occlusion (CTO) percutaneous coronary intervention has led to an increase in the success rate and safety of the procedure. The global CTO crossing algorithm is a consensus document that was developed by 121 expert operators from 50 countries and published during the COVID-19 pandemic. It provides standardisation while allowing flexibility in CTO crossing strategy selection, and can facilitate teaching of CTO percutaneous coronary intervention across various regions of the world. In this review, the 10 steps of the global CTO crossing algorithm are discussed in detail.
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