Which is the best approach for percutaneous coronary intervention of chronic total occlusions? The one you feel most confident with!

Abstract

Key points Percutaneous coronary intervention of chronic total occlusion remains a challenging niche, where minimization of technical failure and complication rates must be dearly pursued. The minimalist hybrid approach is a novel recanalization strategy which provides an individualized technical framework minimizing simultaneous dual injection and large‐bore catheters unless clearly needed. This study reports an observational comparison between a standard revascularization strategy for chronic total occlusion and the minimalist hybrid approach, suggesting the latter may be associated with some benefits, including more parsimonious use of costly devices.