We discuss how to handle retrograde CTO PCI cases when things don't go right. In this case, septal surfing was challenging, reverse CART was challenging, and eventually a snare was useful when the antegrade vessel could not be wired with the retrograde wire after reverse CART.
Chao-Wei Hwang, M.D., Ph.D.
Johns Hopkins University School of Medicine
Cardiac Cath Lab, Frederick Health Hospital