Matteo Casenghi

Key Points Along with the implementation of protection devices and procedural techniques, optimizing fluoroscopic protocols is a crucial step to reduce radiation dose to cath‐lab operators According to this retrospective study, using an ultra‐low dose fluoroscopy protocol (3.75 frames per second) is a simple, effective, and safe way to reduce radiation exposure during chronic total occlusion‐percutaneous coronary intervention Low dose fluoroscopy protocols should be implemented in clinical practice as long as image quality and procedural success rate are not affected