Dual lumen microcatheters for recanalisation of chronic total occlusions: a EuroCTO Club expert panel report
Stylianos A. Pyxaras, Alfredo R. Galassi, Gerald S. Werner, Alexandre Avran, Roberto Garbo, Ömer Göktekín, Nicolas Boudou, Alexander Bufe, Georgios Sianos, Gabriele Gasparini, Alessio La Manna, Joachim Weber‐Albers, Thierry Lefèvre, Şevket Görgülü, David Hildick‐Smith, Javier Escaned, Markus Meyer‐Geßner, Leszek Bryniarski, Carlo Di Mario, Kambis Mashayekhi
Abstract
Dual lumen microcatheters (DLMC) have become indispensable tools in the setting of percutaneous coronary intervention (PCI) of chronic total occlusion (CTO). Other than allowing preservation and treatment of bifurcated coronary branches within or in the proximity of the CTO body, they enable the use of modified parallel wiring, antegrade dissection and re-entry, collateral selection and retrograde negotiation of the distal CTO cap. This EuroCTO consensus document describes current DLMC and suggests a practical guide to anatomies and techniques in which these devices are applicable.