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STINGRAY™ LP

Coronary CTO Re-Entry System

The Hybrid Approach to Treating CTOs

Treat Even the Most Complex Lesions Safely, with Maximum Efficiency and Success

The Algorithm Emphasizes:

  • Procedural efficiency and minimizing the amount of radiation and contrast
  • Quick transition to alternate plans when failure mode occurs; always make progress — don’t let the case stall
New techniques and technologies, including the CrossBossTM and STINGRAYTM LP Coronary Crossing and Re-Entry Devices.

CTO System Overview CrossBoss Coronary CTO Crossing Catheter Learn More About Optimizing Revascularization Indications, Safety, and Warnings
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Three Basic Techniques
Hybrid CTO Three Basic Techniques
High Technical Success/Reduced Procedure Time
>90% CTO Crossing Success
In 193 patients, CTO crossing success was > 90% with the hybrid approach.1
83 Minutes - Average Procedure Time
The hybrid approach has demonstrated lower procedure times compared to other CTO techniques.1

1 Hybrid Strategies for Retrograde and Antegrade Lesion Crossing Based on Anatomy, the Hybrid Registry. Talk presented at the Chronic Total Occlusion and Left Main Summit; February 21-23, 2013; New York, NY.

 

Putting it All Together

Four Angiographic Characteristics Dictate Strategy:
  1. Proximal cap clear or ambiguous by angio +/- IVUS
  2. Quality of distal target
  3. Lesion length < or ≥ 20 mm
  4. Suitability of “interventional” collaterals
Hybrid Algorithm for CTO PCI2
Hybrid Algorithm for CTO PCI

2 Brilakis ES, Grantham JA, Rinfret S, Wyman M, Burke MN, Karmpaliotis D, et al. A percutaneous treatment algorithm for crossing coronary chronic total occlusions. J Am Coll Cardiol Intv. 2012;5(4):367-379. doi:10.1016/j.jcin.2012.02.006.
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