The hybrid algorithm for chronic total occlusions

Abstract

In the last years procedural success rate of chronic total occlusions (CTOs) percutaneous coronary intervention has improved primarily for two reasons: the evolution in materials and the new techniques and skills acquired by dedicated CTOs operators. In the last decade a lot of complex and advanced CTO techniques have been introduced. The hybrid algorithm allows to standardize the experience shared by CTO operators. The aim of the algorithm is to help the operators to choose the best strategy for the single case, in order to improve procedural success rate, to fasten the procedure, shortening failure modes, and to reduce X ray exposure and contrast load. The aim of our review is to highlight the most recent scientific evidence about the use of the hybrid algorithm for the treatment of CTO.

Keywords

Chronic total occlusion / percutaneous coronary intervention / interventional cardiology / coronary artery disease / hybrid algorithm

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