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Chronic Total Occlusion Topic Center Clinical Images

Clinical Images
04/21/2026
Tarek Abdeldayem, MD; Mustafa Tigen, MD; Omer Gogtekin, MD; Mohaned Egred, BSc (Hons), MB, ChB, MD, FRCP, FESC
A 59-year-old man with exertional angina and coronary angiography showing chronic total occlusion of the right coronary artery with collateral filling from the left anterior descending artery. Dual injection revealed an ambiguous proximal...
A 59-year-old man with exertional angina and coronary angiography showing chronic total occlusion of the right coronary artery with collateral filling from the left anterior descending artery. Dual injection revealed an ambiguous proximal...
A 59-year-old man with...
04/21/2026
Journal of Invasive Cardiology
Clinical Images
01/26/2026
Konstantinos Filippou, MD; Konstantinos Manousopoulos, MD; Panagiotis Varelas, MD; Dimitrios Karelas, MD; Ioannis Kouloulias, MD; Alexandros Zaraggas, MD; Ioannis Papadopoulos, MD; Ioannis Nenekidis, MD, PhD; Ioannis Tsiafoutis, MD, PhD
A 62-year-old man with a history of coronary artery bypass graft was referred because of worsening anginal symptoms despite being on optimal antianginal medical therapy. Physical examination, electrocardiogram, echocardiogram, and routine...
A 62-year-old man with a history of coronary artery bypass graft was referred because of worsening anginal symptoms despite being on optimal antianginal medical therapy. Physical examination, electrocardiogram, echocardiogram, and routine...
A 62-year-old man with a history...
01/26/2026
Journal of Invasive Cardiology
Clinical Images
11/19/2025
Gabriele L. Gasparini, MD; Laura Novelli, MD; Jacopo A. Oreglia, MD; Yoshihisa Kinoshita, MD; Jorge Sanz-Sanchez, MD, PhD
A 63-year-old man with a chronic total occlusion of the right coronary artery underwent successful recanalization using a retrograde approach. After stenting, a subocclusion of the ostial posterolateral branch occurred because of plaque...
A 63-year-old man with a chronic total occlusion of the right coronary artery underwent successful recanalization using a retrograde approach. After stenting, a subocclusion of the ostial posterolateral branch occurred because of plaque...
A 63-year-old man with a chronic...
11/19/2025
Journal of Invasive Cardiology
Clinical Images
08/28/2025
Dimitris Karelas, MD, MSc; Konstantinos Filippou, MD, MSc; Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
The authors present a technically informative case of a 65-year-old man referred for coronary angiography because of new onset presented angina during exercise.
The authors present a technically informative case of a 65-year-old man referred for coronary angiography because of new onset presented angina during exercise.
The authors present a...
08/28/2025
Journal of Invasive Cardiology
Clinical Images
08/14/2025
Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Konstantinos Filippou, MD, MSc; Dimitrios Karelas, MD, MSc; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
An 84-year-old man with a history of dyslipidemia and hypertension underwent invasive coronary angiography via his right radial artery because of acute coronary syndrome. After the procedure, a palpable pulse was noted in his right forearm,...
An 84-year-old man with a history of dyslipidemia and hypertension underwent invasive coronary angiography via his right radial artery because of acute coronary syndrome. After the procedure, a palpable pulse was noted in his right forearm,...
An 84-year-old man with a...
08/14/2025
Journal of Invasive Cardiology
Clinical Images
07/11/2025
Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Konstantinos Filippou, MD, MSc; Dimitrios Karelas, MD, MSc; Ioannis Papadopoulos, MD; Alexandre Avran, MD; Ioannis Tsiafoutis, MD, PhD
A 63-year-old man with stable angina was scheduled for elective percutaneous coronary intervention of a chronic total coronary occlusion of the right coronary artery (RCA) with epicardial bridging collaterals from the left circumflex artery...
A 63-year-old man with stable angina was scheduled for elective percutaneous coronary intervention of a chronic total coronary occlusion of the right coronary artery (RCA) with epicardial bridging collaterals from the left circumflex artery...
A 63-year-old man with stable...
07/11/2025
Journal of Invasive Cardiology
Clinical Images
01/13/2025
Marco A. Alcántara-Meléndez, MD; Antonio Vargas-Cruz, MD; César L. González-Aguilar, MD; Faustino J. Silva-Centeno, MD; Jesus González-Jasso, MD; Leonel Avendaño-Perez, MD; Rafael Esparza-Corona, MD; Heberto Aquino-Bruno, MD
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Clinical Images
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had...
03/04/2024
Journal of Invasive Cardiology
Clinical Images
02/13/2024
Tak-Shun Chung, MD, MBBS; Sui-Fung Wong, MBChB; Hiu-Cheong Chow, MBBS
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted...
02/13/2024
Journal of Invasive Cardiology
Clinical Images
11/17/2023
Michalis Koutouzis, MD, PhD; Theodoros Zografos, MD, PhD; Konstantina Katsanou, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Ioannis Tsiafoutis, MD
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred...
11/17/2023
Journal of Invasive Cardiology