Failure to successfully cross a total occlusion is one of the major causes for unsuccessful percutaneous revascularization. In the United States, there are several different technologies, but not every hospital has every technology. There are other ways to treat these patients without expensive technologies and that is with the skills and persistence. An ideal endovascular tool should be cost effective, efficient, and safe and should maintain good outcomes.
There are many endovascular tools, one can use for improving outcomes during endovascular revascularization. Wires and catheters are comparatively the cheapest tools of this treatment modality. Newer technology includes crossing devices, drug coated balloons, and drug eluting stents.