Abstract

Chronic total occlusion recanalization still represents the final frontier in percutaneous coronary intervention. Retrograde recanalization is one of the greatest amendments of this technique. At present, it has become an integral complement to the traditional antegrade approach. Despite being most frequently used in complex patients; it has the highest success rate with the lowest incidence of complications. Since its inception, significant iterations have occurred that made this technique safer, faster, and even more successful. In this article, we describe various tips and tricks which can help in increasing the success rate of retrograde CTO PCI. Various complications, their preventions, and treatments, if they occur, have been described.

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