Use of ReCross to Increase Success Rate With Antegrade CTO PCI-A Multicenter Observational Study
Ayoub, Mohamed (Ruhr-Universität Bochum)
Mozid, Abdul (The Leeds Teaching Hospitals NHS Trust)
Millan, Xavier (Institut de Recerca Sant Pau)
Khatri, Jaikirshan (Cleveland Clinic Foundation)
Ungureanu, Claudiu (CHU Helora. Jolimont)
Bennett, Johan (University Hospital Leuven)
Philip, Legate (Ruhr-Universität Bochum)
Ghafari, Chadi (CHU Helora. Site Kennedy)
Avran, Alexandre (Valenciennes Hospital)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2025
Resum:	Background: Antegrade approach remains one of the predominant techniques for CTO PCI. Success rates have increased significantly recently due to advancements in devices and strategies, along with the hybrid algorithm. ReCross is a uniquely modified microcatheter with two over-the-wire lumens and three exit ports, offering significant potential for application across all facets of antegrade CTO-PCI applications. However, there is limited published data investigating its efficacy. Objective: The objective of our study was to analyze the efficiency and outcome of the ReCross device, following an agreed step-by-step protocol in contemporary CTO PCI, based on our firsthand experience. Methods: During the period between June 2023 and April 2024, we evaluated patients undergoing CTO PCI at eight participating centers for scheduled clinically necessary CTO PCI with a planned primary antegrade approach using an upfront agreed ReCross strategy. Results: A total of 118 patients who underwent CTO PCI were included in the study. The mean JCTO score was 2. 16 ± 0. 95. The majority of cases (94%) were successfully resolved using an upfront ReCross strategy with a technical success of 96%, demonstrating a high level of effectiveness. The average procedure time (90 min) observed in our study was notably lower in comparison to other similar studies. There were no procedure-related mortalities until hospital discharge, although one distal wire perforation complication was reported. Conclusion: Our initial experience with the ReCross microcatheter suggests in select cases with the application of a dedicated algorithm, the antegrade approach can be highly successful.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Antegrade dissection re-entry ; Antegrade wiring ; Retrograde dissection re-entry
Publicat a:	Catheterization and Cardiovascular Interventions, Vol. 106, Num. 1 (January 2025) , p. 654-662, ISSN 1522-726X

DOI: 10.1002/ccd.31585
PMID: 40384369

9 p, 1.1 MB

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