Retrograde Dissection and Reentry: Strategies: Common Pitfalls and Troubleshooting

Interv Cardiol Clin. 2021 Jan;10(1):51-64. doi: 10.1016/j.iccl.2020.09.004.

Abstract

The retrograde dissection reentry (RDR) technique is often required to treat the most complex chronic total occlusions (CTOs). This involves a sequence of procedural steps with many potential pitfalls. Procedural planning, knowledge of the equipment, including task-specific wires and microcatheters, and the ability to systematically trouble shoot is necessary to achieve consistent success. With the combination of more complex anatomy and collateral crossing, RDR is associated with higher rates of procedural complications, which the CTO operator must be specifically trained to avoid and to manage.

Keywords: Chronic total occlusion; Dissection reentry; Percutaneous coronary intervention; Retrograde.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Coronary Occlusion* / diagnosis
  • Coronary Occlusion* / surgery
  • Dissection
  • Humans
  • Percutaneous Coronary Intervention*
  • Treatment Outcome