Efficace ricanalizzazione di una doppia occlusione totale cronica tramite un doppio approccio retrogrado

Chronic total occlusions (CTO) still remain one of the most technically challenging scenarios in which interventions are performed. Although the antegrade approach is the most common method of CTO recanalization, management of CTOs has recently been refined through the development of a retrograde approach that offers an additional possibility of success after antegrade failure. Knowledge of the different devices and techniques along with awareness of the possible complications could result in the practical implementation of these techniques with high procedural success and low complication rates. We present a case of successful percutaneous coronary intervention of double CTOs in the left anterior descending artery, which were successfully recanalized step by step using two different retrograde approaches.