The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Expanding options for retrograde recanalisation of right coronary artery chronic total occlusions

EuroIntervention 2016;11:e1214-e1217 published online e-edition February 2016. DOI: 10.4244/EIJV11I11A241

1. VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, TX, USA; 2. York Hospital - Wellspan Health Systems, York, PA, USA

The right coronary artery (RCA) is the most common target vessel for chronic total occlusion (CTO) percutaneous coronary intervention (PCI), accounting for 44% of target lesions in the multicentre CTO registry in Japan (J-CTO)1, 50% in the European Registry of Chronic Total Occlusion (ERCTO)2, and 59% in the Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (Progress CTO)3. The exact reasons underlying this high prevalence are unclear. Possible contributing factors may include the long length that the RCA runs in the atrioventricular groove before it bifurcates into the posterior descending and posterolateral arteries. The poor long-term patency of saphenous ...

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