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Antegrade Approach for #CTO Lesions #Cardiotwitter

Method A..Antegrade wire Escaltation ;

It consists of advancing various guidewires in antegrade direction to cross CTO while remaining within true lumen of vessel (True to True )
@mmamas1973
@mirvatalasnag
@Hragy
@PCRonline
#crossing proximal cap.

Wire escaltation

Wire Gear 1

For proximal cap penetration, tapered polymer GW with low-penetration power soft-tip (Fielder family guidewires; Ashai Intecc), allowing advancement along visible or invisible microchannels, are the first choice
Wire Gear 2

~If the operator encounters difficulties in crossing the lesion, they can switch to GW with greater penetration force. When proximal cap is blunt, GW with intermediate penetration force (Gaia 2nd–3rd [Ashai Intecc] or Pilot 200 [Abbott Vascular]) are used.
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