Coronary chronic total occlusions (CTOs) are severe blockages formed by lipid, fibrous, and calcific material within the artery, halting blood flow for at least three months. Treating CTOs using true-lumen crossing is challenging due to their composition and high tortuosity in coronary arteries. Our study uses intracardiac echocardiography (ICE) catheters to image coronary arteries, introducing a novel 2D and 3D outlining technique. This advancement may improve percutaneous coronary interventions (PCI) for CTOs by providing live imaging feedback during true-lumen crossing procedures, enhancing treatment outcomes.
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