Case 223: Manual of CTO PCI - Reversed guidewire to the rescue

A patient was referred for PCI of an LAD CTO after a prior failed attempt. The LAD was occluded immediately distal to the takeoff of a large diagonal branch with significant angulation. Using the reversed guidewire technique with a Sion black and a Sasuke dual lumen microcatheter the lesion was successfully crossed with a nice final result after stenting.

[@l.SoHaiB.l]

Fascinating

[@drmz2007]

I learned this technique after watching your video and successfully done by both single and dual-lumen micro catheters. Thank you, sir

[@hifa63]

Many thanks

[@davidrozariocalvary]

Spectacular wiring. Thanks for such an educative case, as indeed all your cases are

[@shangz0216]

Thanks for the educative case presentation.