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Multimodality plaque ablation following failure of conventional wires and balloons to cross and to allow successful paclitaxel-eluting stent implantation of a chronic total occlusion.

Chronic total occlusion (CTO) is one of the most challenging coronary lesions to be faced in the catheterization laboratory. This report of a patient with stable angina and a CTO illustrates the potential problems that may arise and must be overcome, and demonstrates the utilization of technologies including the Intraluminal wire.