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CTO & Multiple TAP

CTO & Multiple TAP

European Bifurcation Club 2018 – EBC 2018 – Brussels, Belgium


CTO & Multiple TAP

Author: Prof. Dr. Fazila-Tun-Nesa Malik, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh



  • The presence of a bifurcation or a trifurcation at the proximal or distal entry point of the CTO has been described as an anatomical predictor of failure.
  • The incidence is 25%.
  • Different techniques available to overcome this problem.
  • Wiring of the side branch at baseline condition and the absence of dissection affecting the bifurcation were powerful predictors of technical success.
  • The rate of technical success (main vessel and side branch) is 74%.
  • A two-stent technique may be consider up-front for bifurcation for large side branch.
  • Choice of strategy depends on lesion and vessel characteristics (plaque distribution, the diameter of the branches, angle between them, and anatomy of side branch).
  • TAP is a relatively easy double stent technique. However the angle needs to be suitable


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