Antegrade Dissection and Reentry: Tools and Techniques

Abstract

The hybrid approach to chronic total occlusion percutaneous coronary intervention requires facility with antegrade and retrograde strategies to achieve high success rates in a time-efficient and safe manner. Antegrade dissection and reentry is an integral component of this approach but historically has been limited by low success rates and an inability to control the site of reentry. The advent of the BridgePoint device, and multiple iterations of technique in conjunction with its use, have markedly improved success rates and procedure efficiency.

Keywords: Antegrade approach; BridgePoint device; Chronic total occlusions; Dissection/reentry; Percutaneous coronary intervention.