The impact of dissection and re-entry versus wire escalation techniques on one-year clinical outcomes in patients with chronic total occlusion
Said El keshk, E., Abd El Khalek El Darky, E., El Sayed Abd El Hamid Ammar, A., Mohamed Sabry, A. (2024). The impact of dissection and re-entry versus wire escalation techniques on one-year clinical outcomes in patients with chronic total occlusion. EKB Journal Management System, 9(12), 53-57. doi: 10.21608/bjas.2025.343758.1552
Eman Said El keshk; El Sayed Abd El Khalek El Darky; Ahmed El Sayed Abd El Hamid Ammar; Al Shimaa Mohamed Sabry. "The impact of dissection and re-entry versus wire escalation techniques on one-year clinical outcomes in patients with chronic total occlusion". EKB Journal Management System, 9, 12, 2024, 53-57. doi: 10.21608/bjas.2025.343758.1552
Said El keshk, E., Abd El Khalek El Darky, E., El Sayed Abd El Hamid Ammar, A., Mohamed Sabry, A. (2024). 'The impact of dissection and re-entry versus wire escalation techniques on one-year clinical outcomes in patients with chronic total occlusion', EKB Journal Management System, 9(12), pp. 53-57. doi: 10.21608/bjas.2025.343758.1552
Said El keshk, E., Abd El Khalek El Darky, E., El Sayed Abd El Hamid Ammar, A., Mohamed Sabry, A. The impact of dissection and re-entry versus wire escalation techniques on one-year clinical outcomes in patients with chronic total occlusion. EKB Journal Management System, 2024; 9(12): 53-57. doi: 10.21608/bjas.2025.343758.1552

The impact of dissection and re-entry versus wire escalation techniques on one-year clinical outcomes in patients with chronic total occlusion

Benha Journal of Applied Sciences
Article 7, Volume 9, Issue 12, December 2024, Pages 53-57    PDF (413.37 K)
Document Type: Original Research Papers
DOI: 10.21608/bjas.2025.343758.1552
Authors
Eman Said El keshk1; El Sayed Abd El Khalek El Darky2; Ahmed El Sayed Abd El Hamid Ammar* 3; Al Shimaa Mohamed Sabry1
1Assistant Professor of Cardiovascular Medicine, Faculty of Medicine, Benha University, Benha, Egypt
2Professor of Cardiovascular Medicine, Faculty of medicine, Benha University, Benha, Egypt
3M.Sc., Faculty of Medicine, Zagazig University, Egypt
Abstract
Three distinct degrees of assurance about occlusion length are defined in the Euro CTO club consensus statement. Without a doubt: The flow was verified to be TIMI grade 0 in an earlier angiography performed more than three months ago.Most likely: More than three months ago, a clinical diagnosis of acute myocardial infarction was made in the area of the blocked artery.Unknown: chronic total occlusion (CTO) with TIMI grade 0 flow and angiographic evidence of chronic occlusion; three months of stable angina symptoms have not improved. An epicardial coronary artery blockage with no antegrade flow, mature collaterals, no thrombus, no proximal cap staining, and a duration of three months or more is defined as a chronic complete occlusion (CTO) by the CTO Academic Research Consortium (CTO-ARC). The terms "intraplaque" (wire tracking inside plaque) and "extraplaque" (outside plaque but within adventitia) have been substituted for "true lumen" and "subintimal"(1) in the CTO-ARC paper. By doing away with the word "escalation" to represent both the escalation and de-escalation of wire tip-load, it creates two new categories for crossing techniques: antegrade wiring (AW) and retrograde wiring (RW).
Keywords
Dissection; Re-Entry Versus Wire; chronic total occlusio
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