Successful CTO Recanalization of Left Anterior Descending Artery by Retrograde Approach

Teguh W. Purnomo, Budi Baktijasa

Successful recanalization and percutaneous revascularization of coronary arteries with chronic total occlusion (CTO) is one of the ‘last frontiers’ in coronary interventions. Conquering this objective may enable complete percutaneous revascularization in an increasing number of patients. Revascularization of CTOs carries multiple theoretical advantages such as improvement in wall motion abnormalities and left ventricular function, and ultimately, increased long-term survival. The retrograde approach through a collateral artery is now thought to improve the success of percutaneous coronary intervention (PCI) for CTO. We present a case in which of a CTO of the osteal left anterior descending artery was successfully opened by the retrograde approach through a collateral from the right coronary artery, followed by successful angioplasty and stenting.

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