Type A lesions: High success (>85%); low risk |
Discrete, <10 mm in length |
Concentric |
Readily accessible |
Nonangulated segment, <45 degrees |
Smooth contour |
Little or no calcification |
Less than totally occlusive |
Not ostial in location |
No major branch involvement |
Absence of thrombus |
Type B lesions: Moderate success (60 to 85%); moderate risk (Type B1: One type B characteristic; Type B2: More than one type B characteristic) |
Tubular, 10 to 20 mm in length |
Eccentric |
Moderate tortuosity of proximal segment |
Moderately angulated segment (>45 degrees, <90 degrees) |
Irregular contour |
Moderate-to-heavy calcification |
Total occlusions less than three months old and/or bridging collaterals |
Ostial in location |
Bifurcation lesions requiring double guide wires |
Some thrombus present |
Type C lesions: Low success (<60%); high risk |
Diffuse, >20 mm in length |
Excessive tortuosity of proximal segment |
Extremely angulated segments >90 degrees |
Total occlusion more than three months old |
Inability to protect major side branches |
Degenerated vein grafts with friable lesions |
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