Successful Percutaneous Intervention for Chronic Total Occlusion of Left Subclavian Artery

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Left main coronary artery dissection during percutaneous coronary intervention in patient with chronic total occlusion.

Catheter induced left main coronary artery dissection is a rare but well recognized life threatening complication of coronary angiography and angioplasty. We present a case of left main coronary artery dissection induced with a guide catheter while dealing with chronic total occlusion (CTO) and bailout stenting of left main and Left anterior descending (LAD) artery.

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Chronic total coronary occlusion percutaneous intervention.

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Use of the frontrunner catheter to cross a chronic total occlusion of the left subclavian artery.

Crossing a subclavian artery chronic total occlusion may be challenging. We report the treatment of such an occlusion in a patient with a patent left internal mammary graft to the left anterior descending artery, who presented with progressive angina. Several attempts to cross the occlusion, both antegrade and retrograde, with various guidewires failed. The lesion was successfully crossed anteg...

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ژورنال

عنوان ژورنال: Journal of Cardiology & Cardiovascular Therapy

سال: 2018

ISSN: 2474-7580

DOI: 10.19080/jocct.2018.09.555769