TCTAP C-091 Successful PCI of RCA CTO Bifurcation Lesion Using Side-Branch Technique

[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...

Treatment of coronary bifurcation lesions: stent-covering of the side branch with and without PCI of the side branch: a retrospective analysis of all consecutive patients

BACKGROUND Treatment of coronary bifurcation lesions is a complex problem. METHODS This retrospective single-center study included all consecutive patients with PCI of coronary bifurcations with stent covering of the side branch (SB) between January 2008 - August 2011. RESULTS Our study group (n = 98) was group A (n = 64, 65.3%) and group B (n = 34, 34.7%). Mean follow-up was 14.1 (group A)...

impact of side-branch flow in coronary bifurcation intervention

background: the optimal strategy in percutaneous coronary intervention (pci) for coronary artery bifurcation lesions has yet to be agreed upon. we compared a strategy for stenting the main vessel to provide a complete perfusion flow in the side branch, namely thrombolysis in myocardial infarction (timi) - iii, with a strategy for intervention in both the main vessel and the side branch (mv + sb...

Antegrade approach to stumpless chronic total occlusion of ostial left anterior descending artery: first using a side branch cutting technique.

The approach to a chronic total occlusion (CTO) still remains one of the most technical challenges in percutaneous coronary intervention (PCI). CTO lesions with a blunt entry point, calcification, and failure of a previous approach, are the independent predictors of CTO-PCI failure. Here we report a successful antegrade approach for reattempted CTO-PCI of a left anterior descending artery (LAD)...

Improving the success to recross into the side branch after mini-crush technique for bifurcation lesions.