Abstract
Over the last decade, interventional cardiologists have globally made tremendous progress in understanding and overcoming conditions associated with chronically occluded coronary arteries. Percutaneous coronary intervention (PCI) of chronic total occlusions (CTO) is a rapidly evolving field. The initial success rate is increasing with the improvements in technology and technique such as the retrograde approach [1]. Recently, antegrade dissection and reentry (ADR) for CTO PCI has also evolved to one of the techniques, especially in USA and Europe [2]. Although there are several ADR techniques including subintimal tracking and reentry (STAR) or the limited antegrade subintimal tracking (LAST) technique, recent ADR can be achieved with the CrossBoss catheter (Boston Scientific, Nattick, Massachusetts) and the Stingray system (Boston Scientific) [3]. In this section, we describe about the CrossBoss and Stingray system designed for CTO crossing and reentry.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Rathore S, Matsuo H, Terashima M, Kinoshita Y, Kimura M, Tsuchikane E, Nasu K, Ehara M, Asakura Y, Katoh O, Suzuki T. Procedural and in-hospital outcomes after percutaneous coronary intervention for chronic total occlusions of coronary arteries 2002 to 2008: impact of novel guidewire techniques. JACC Cardiovasc Interv. 2009;2:489–97.
Michael TT, Papayannis AC, Banerjee S, Brilakis ES. Subintimal dissection/reentry strategies in coronary chronic total occlusion interventions. Circ Cardiovasc Interv. 2012;5:729–38.
Whitlow PL, Burke MN, Lombardi WL, Wyman RM, Moses JW, Brilakis ES, Heuser RR, Rihal CS, Lansky AJ, Thompson CA, FAST-CTOs Trial Investigators. Use of a novel crossing and re-entry system in coronary chronic total occlusions that have failed standard crossing techniques: results of the FAST-CTOs (Facilitated Antegrade Steering Technique in Chronic Total Occlusions) trial. JACC Cardiovasc Interv. 2012;5:393–401.
Brilakis ES, Banerjee S, Karmpaliotis D, Lombardi WL, Tsai TT, Shunk KA, Kennedy KF, Spertus JA, Holmes DR Jr, Grantham JA. Procedural outcomes of chronic total occlusion percutaneous coronary intervention: a report from the NCDR (National Cardiovascular Data Registry). JACC Cardiovasc Interv. 2015;8:245–53.
Brilakis ES, Grantham JA, Rinfret S, Wyman RM, Burke MN, Karmpaliotis D, Lembo N, Pershad A, Kandzari DE, Buller CE, DeMartini T, Lombardi WL, Thompson CA. A percutaneous treatment algorithm for crossing coronary chronic total occlusions. JACC Cardiovasc Interv. 2012;5:367–79.
Rangan BV, Kotsia A, Christopoulos G, Spratt J, Rinfret S, Banerjee S, Brilakis ES. The hybrid approach for intervention of chronic total occlusions. Curr Cardiol Rev. 2015;11(4):299–304.
Maeremans J, Walsh S, Knaapen P, Spratt JC, Avran A, Hanratty CG, Faurie B, Agostoni P, Bressollette E, Kayaert P, Bagnall AJ, Egred M, Smith D, Chase A, McEntegart MB, Smith WH, Harcombe A, Kelly P, Irving J, Smith EJ, Strange JW, Dens J. The hybrid algorithm for treating chronic total occlusions in Europe: The RECHARGE Registry. J Am Coll Cardiol. 2016;68:1958–70.
Maeremans J, Dens J, Spratt JC, Bagnall AJ, Stuijfzand W, Nap A, Agostoni P, Wilson W, Hanratty CG, Wilson S, Faurie B, Avran A, Bressollette E, Egred M, Knaapen P, Walsh S, Investigators RECHARGE. Antegrade dissection and reentry as part of the hybrid chronic total occlusion revascularization strategy: a subanalysis of the RECHARGE Registry (Registry of CrossBoss and hybrid procedures in France, the Netherlands, Belgium and United Kingdom). Circ Cardiovasc Interv. 2017;10(6) https://doi.org/10.1161/CIRCINTERVENTIONS.116.004791.
Lee PH, Lee SW, Park HS, Kang SH, Bae BJ, Chang M, Roh JH, Yoon SH, Ahn JM, Park DW, Kang SJ, Kim YH, Lee CW, Park SW, Park SJ. Successful recanalization of native coronary chronic total occlusion is not associated with improved long-term survival. JACC Cardiovasc Interv. 2016;9:530–8.
Habara M, Tsuchikane E, Muramatsu T, Kashima Y, Okamura A, Mutoh M, Yamane M, Oida A, Oikawa Y, Hasegawa K, Retrograde Summit Investigators. Comparison of percutaneous coronary intervention for chronic total occlusion outcome according to operator experience from the Japanese retrograde summit registry. Catheter Cardiovasc Interv. 2016;87:1027–35.
Suzuki Y, Tsuchikane E, Katoh O, et al. Outcomes of percutaneous coronary interventions for chronic total occlusion performed by highly experienced Japanese specialists: the first report from the Japanese CTO-PCI Expert Registry. JACC Cardiovasc Interv. 2017;10(21):2144–54.
Lee SW, Lee PH, Kang SH, Choi H, Chang M, Roh JH, Yoon SH, Ahn JM, Park DW, Kang SJ, Kim YH, Lee CW, Park SW, Park SJ. Determinants and prognostic significance of periprocedural myocardial injury in patients with successful percutaneous chronic total occlusion interventions. JACC Cardiovasc Interv. 2016;9:2220–8.
Harding SA, Wu EB, Lo S, et al. A new algorithm for crossing chronic total occlusions from the Asia Pacific Chronic Total Occlusion Club. JACC Cardiovasc Interv. 2017;10(21):2135–43.
Wilson WM, Walsh S, Hanratty C, et al. A novel approach to the management of occlusive in-stent restenosis (ISR). EuroIntervention. 2014;9:1285–93.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Habara, M., Lee, SW., Tsuchikane, E. (2019). CrossBoss and Stingray System. In: Jang, Y. (eds) Percutaneous Coronary Interventions for Chronic Total Occlusion. Springer, Singapore. https://doi.org/10.1007/978-981-10-6026-7_14
Download citation
DOI: https://doi.org/10.1007/978-981-10-6026-7_14
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-6025-0
Online ISBN: 978-981-10-6026-7
eBook Packages: MedicineMedicine (R0)