Coronary CTO PCI

An advanced hybrid approach to revascularize chronic total occlusions (CTO) holds much promise for patients, particularly those with a known CTO for whom medical therapies aren't sufficient. Interventional cardiologist Anbukarasi (Arasi) Maran, M.D., who leads the CTO team at MUSC Health's Heart & Vascular Center, which specializes in this advanced hybrid algorithm, discusses the approach in this video. CTO, wherein a heart blood vessel has been closed for more than 3 months, happens gradually. This allows the heart to develop its own bypass or collateral flow to supply the muscle beyond the blockage. Unlike the conventional percutaneous coronary intervention (PCI) CTO, which uses wire escalation techniques with access through a single vessel, the hybrid approach attempts access on both vessels. This new approach offers multiple benefits-including significantly higher success rates. It's a complex technique that requires the type of specialized training that Dr. Maran has.  Dr. Maran learned the intricacies of this technique from internationally renowned CTO expert William Lombardi, M.D., at the University of Washington. She now performs increasing numbers of this niche procedure at MUSC Health.


Published

August 21, 2017

Created by

The Medical University of South Carolina

Related Presenters

Anbukarasi Maran, MD

Anbukarasi Maran, MD

Interventional Cardiologist

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