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100% (Chronic Total Occlusion) blocks are challenging to angioplasty and stent as they do not have an opening to place the wire and will need different and more complex hardware including wires, catheters and balloons to open, thus making the procedure much more riskier than 99% or less severe blocks.

Failure chances and complications are higher than for other angioplasties.
It needs experience and skill to angioplasty such blocks. However all 100% blocks need not be opened and a risk to benefit assessment must always be made.

This was a 100% block in Proximal LAD which was opened in a span of 2 and half hours by Dr Binoy John and Team.

Dr Binoy John
MD DM FCSI FACC FESC FSCAI FAPSIC is a
Senior Consultant Interventional Cardiologist and specialist in Heart failure and Advanced Valve and Cardiac Diseases, practices in Chennai, Tamil Nadu
+919790888111
https://www.facebook.com/BINOYJOHNDR?...