Abstract
Percutaneous revascularization of chronic total occlusions (CTOs) is known for the high technical complexity. Considering the constant increase in CTO procedures, subsequent peri-procedural complications will rise too, thus they need to be promptly recognized and evaluated for their potential risk of clinical sequelae. We report the case of a newly described complication during trans-septal retrograde CTO intervention: a septal collateral artery dissection due to endothelial avulsion.
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