CPVI—Case-Based Controversies in SFA and BTK Interventions-Case Reviews of CTO Crossing Made Ridiculously Simple: Wires, Catheters, and Devices

Case Reviews of CTO Crossing Made Ridiculously Simple: Wires, Catheters, and Devices

Video Transcription

Video Summary

The video discusses different techniques and approaches for crossing chronic total occlusions (CTOs) in the peripheral vasculature. The speaker emphasizes the high risks and complications associated with CTO therapies, particularly in the aortic iliac and femoral popliteal (FEMPOP) territories. In the aortic iliac segment, the importance of using intravascular ultrasound (IVUS) for safe crossing is highlighted, along with the use of covered stents, coils, and plugs for treating perforations. In the FEMPOP territory, various techniques from the coronary literature are discussed, including wire escalation and the use of crossing devices like the Frontrunner and Crosser. In the tibial segment, wire escalation and retrograde techniques are common due to limited lumen space. The speaker emphasizes the need for proper training, careful consideration of patient risk, and familiarity with tools and algorithms for successful CTO treatment. The video is presented by an unnamed speaker (possibly a doctor) and includes references to materials from the book "Peripheral Matters" edited by Dr. Sesemsky.

Asset Subtitle

Peter Monteleone, MD, FSCAI

Keywords

chronic total occlusions

peripheral vasculature

intravascular ultrasound

wire escalation

CTO treatment