In-stent Carlino—a novel bailout for device-uncrossable in-stent chronic total occlusions - Takeaways - MDSpire

In-stent Carlino—a novel bailout for device-uncrossable in-stent chronic total occlusions

  • By

  • Ahmad Samir

  • Hossameldin Hussein

  • May 12, 2026

  • 0 min

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  • 1

    In-stent chronic total occlusions (IS-CTOs) often lead to device uncrossability, complicating coronary interventions.

  • 2

    The in-stent Carlino technique utilizes hydraulic plaque modification to effectively address device-uncrossable IS-CTOs.

  • 3

    Successful application of the in-stent Carlino technique was demonstrated in two complex IS-CTO cases, facilitating device delivery.

  • 4

    The technique benefits from the natural containment of the stent framework, reducing the risk of complications compared to conventional methods.

  • 5

    In-stent Carlino offers a safer alternative for managing IS-CTOs, enhancing procedural success in challenging cases.

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