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Using specialized microcatheters and wires, to modify the proximal cap of a chronic total occlusion (CTO), operators can achieve optimal access and directionality, facilitating the crossing of challenging lesions. This interventional approach, especially if combined with adjunctive therapies such as intravascular lithotripsy, is particularly beneficial for addressing calcified lesions that are often resistant to conventional methods.<\/jats:p>","DOI":"10.1002\/ccd.31590","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T03:15:24Z","timestamp":1747019724000},"page":"752-753","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Scratch &amp; Go Technique and Lithotripsy for Recanalization of Ostial Left Circumflex Chronic Total Occlusion"],"prefix":"10.1002","volume":"106","author":[{"given":"Gianluca","family":"Rigatelli","sequence":"first","affiliation":[{"name":"Cardiology Dept., Madre Teresa di Calcutta Hospital Ospedali Riuniti Padova Sud Monselice Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Marchese","sequence":"additional","affiliation":[{"name":"Cardiology Dept., Madre Teresa di Calcutta Hospital Ospedali Riuniti Padova Sud Monselice Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ervis","family":"Hiso","sequence":"additional","affiliation":[{"name":"Cardiology Dept., Madre Teresa di Calcutta Hospital Ospedali Riuniti Padova Sud Monselice Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Bertolini","sequence":"additional","affiliation":[{"name":"Cardiology Dept., Madre Teresa di Calcutta Hospital Ospedali Riuniti Padova Sud Monselice Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Zuin","sequence":"additional","affiliation":[{"name":"Cardiology Dept., Madre Teresa di Calcutta Hospital Ospedali Riuniti Padova Sud Monselice Italy"},{"name":"Department of Translational Medicine University of Ferrara Ferrara Italy"},{"name":"Department of Cardio\u2010Thoraco\u2010Vascular Sciencesand Public Health University of Padova Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.31264"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-24-00282"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31590","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.31590","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31590","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:04:22Z","timestamp":1771221862000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,12]]},"references-count":2,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/ccd.31590"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31590","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,12]]},"assertion":[{"value":"2024-12-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}