Revascularization of Coronary Artery Chronic Total Occlusion by Active Antegrade Reverse Wire Technique

Figure 2

(a) A patient with CTO at the proximal anterior descending branch (LAD), where the distal end of the occluded segment was blunt, and with a relatively large septal branch. The true opening of the main vessel was h-shaped due to the restriction of the plaques. (b) ARW was used to reversely deliver the wire from the septal branch to LAD. (c) The occluded segment was successfully recanalized.

(a)

(b)

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