TCTAP C-087 A Bifurcation Double CTO Case Treated with IVUS Guided Wiring and Retrograde Approach
نویسندگان
چکیده
منابع مشابه
[Successful recanalisation of RCA CTO using retrograde approach].
A 51-year-old female two years after CABG presented with unstable angina and inferior wall ischaemia. Coronary angiography revealed occluded graft to RCA and chronic total occlusion of RCA with good collateral flow from distal LAD to RCA. The CTO was successfully crossed and dilated through epicardial collaterals from distal LAD (retrograde approach). Finally, antegrade angioplasty with two ste...
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A 52-year-old male underwent cardiac catheterization for abnormal stress test. Trans-radial coronary angiography revealed a severe proximal left anterior descending artery (LAD) lesion. LAD angioplasty was performed with two drug-eluting stents. This resulted in dissection of the proximal LAD, the circumflex artery and the left main coronary artery (LMCA) extending back into the coronary sinus....
متن کاملReal-Time Intravascular Ultrasound-Guided Wiring for Percutaneous Coronary Intervention of Abrupt-Type Chronic Total Occlusion
The success rate of a chronic total occlusion (CTO) procedure depends on the morphologic features of the lesion. The abrupt type of CTO, which has a blunt stump with a side branch at the site of occlusion, is suggested to be a predictor of procedure failure. We report a successful recanalization of the abrupt type of CTO by using real-time intravascular ultrasound (IVUS)-guided wiring technique...
متن کاملThrombotic Occlusion during Intravascular Ultrasonography-Guided Percutaneous Coronary Intervention of Stumpless Chronic Total Occlusion
Percutaneous coronary intervention (PCI) of stumpless chronic total occlusion (CTO) lesions with a side branch stemming from the occlusion have a significantly lower treatment success rate because physicians cannot identify an accurate entry point with only conventional angiographic images. An intravascular ultrasonography (IVUS)-guided wiring technique might be useful for the penetration of st...
متن کاملSide-Branch and Coaxial Intravascular Ultrasound Guided Wire Re-Entry after Failed Retrograde Approach of Chronic Total Occlusion Intervention.
Intravascular ultrasound (IVUS) can provide valuable information during the intervention of difficult chronic total occlusion (CTO) lesion. Stumpless CTO lesions with an adjacent side branch are associated with a significantly lower success rate because the proper entry point is not always clearly identified and the guidewires easily slip into the side branch. Herein we presented a case of a st...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2016
ISSN: 0735-1097
DOI: 10.1016/j.jacc.2016.03.293