{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T10:54:12Z","timestamp":1773485652616,"version":"3.50.1"},"reference-count":6,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,5,22]],"date-time":"2015-05-22T00:00:00Z","timestamp":1432252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2015,11,15]]},"abstract":"<jats:p>When dealing with flush ostial chronic total occlusion (CTO) and no viable retrograde option, the only way to perform recanalization is through an antegrade approach. Such a procedure can be extremely difficult considering the ambiguity of the proximal cap. We demonstrate how we solved ambiguity of the proximal cap of an ostial obtuse marginal CTO with the help of cardiac multidetector computed tomography (MDCT). We also discuss several techniques including bilateral radial approach with home\u2010made sheathless large\u2010bore catheters, IVUS\u2010guided cap puncture, ping\u2010pong guide catheters engagement in the left main, and bioresorbable vascular scaffold (BVS) for an ostial left circumflex disease that we all used in our CTO case. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ccd.25938","type":"journal-article","created":{"date-parts":[[2015,5,22]],"date-time":"2015-05-22T12:56:19Z","timestamp":1432299379000},"source":"Crossref","is-referenced-by-count":6,"title":["Stumpless chronic total occlusion with no retrograde option"],"prefix":"10.1002","volume":"86","author":[{"given":"Rustem","family":"Dautov","sequence":"first","affiliation":[{"name":"Institut Universitaire De Cardiologie Et De Pneumologie De Qu\u00e9bec (Quebec Heart and Lung Institute), Laval University Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Abdul Jawad Altisent","sequence":"additional","affiliation":[{"name":"Institut Universitaire De Cardiologie Et De Pneumologie De Qu\u00e9bec (Quebec Heart and Lung Institute), Laval University Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Rinfret","sequence":"additional","affiliation":[{"name":"Institut Universitaire De Cardiologie Et De Pneumologie De Qu\u00e9bec (Quebec Heart and Lung Institute), Laval University Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,22]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","unstructured":"BrilakisES GranthamJA RinfretS WymanRM BurkeMN KarmpaliotisD LemboN PershadA KandzariDE BullerCE et al.A percutaneous treatment algorithm for crossing coronary chronic total occlusions.JACC Cardiovasc Interv2012;5:367\u2013379.","DOI":"10.1016\/j.jcin.2012.02.006"},{"key":"e_1_2_5_3_1","doi-asserted-by":"crossref","unstructured":"MorinoY AbeM MorimotoT KimuraT HayashiY MuramatsuT OchiaiM NoguchiY KatoK ShibataY et al.Predicting successful guidewire crossing through chronic total occlusion of native coronary lesions within 30 minutes: The J\u2010CTO (Multicenter CTO Registry in Japan) score as a difficulty grading and time assessment tool.JACC Cardiovasc Interv2011;4:213\u2013221.","DOI":"10.1016\/j.jcin.2010.09.024"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000447"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22870"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","unstructured":"ParkY ParkHS JangGL LeeDY LeeH LeeJH KangHJ YangDH ChoY ChaeSC et al.Intravascular ultrasound guided recanalization of stumpless chronic total occlusion.Int J Cardiol2011;148:174\u2013178.","DOI":"10.1016\/j.ijcard.2009.10.052"},{"key":"e_1_2_5_7_1","unstructured":"JollySS YusufS CairnsJ NiemelaK XavierD WidimskyP BudajA NiemelaM ValentinV LewisBS et al.Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): A randomised parallel group multicentre trial.Lancet2011;377:1409\u20131420."}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.25938","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.25938","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T05:04:45Z","timestamp":1717909485000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.25938"}},"subtitle":["Multidetector Computed Tomography\u2010Guided Intervention via Bi\u2010Radial Approach Utilizing Bioresorbable Vascular Scaffold"],"short-title":[],"issued":{"date-parts":[[2015,5,22]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,11,15]]}},"alternative-id":["10.1002\/ccd.25938"],"URL":"https:\/\/doi.org\/10.1002\/ccd.25938","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,22]]}}}