TCTAP C-093 Percutaneous Coronary Intervention of the Left Main Chronic Total Occlusion Without Visible Stump

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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 left main coronary artery occlusion.

A 65 year old man, smoker, presented with a history of exertional shortness of breath over the last 4 months. He denied any chest discomfort. On examination jugular venous distension was noted with bilateral basal crackles. He got symptomatic relief after treatment with diuretics and nitrates. His echocardiogramme revealed global hypokinesia of left ventricle with severe mitral regurgitation. H...

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Chronic total coronary occlusion percutaneous intervention.

Chronic total coronary occlusions (CTO) are encountered frequently, found in up to 50% of patients with coronary artery disease (CAD) referred for elective angiography. Treatment strategy for an individual patient is often changed on the basis of the presence or absence of a CTO (1). Percutaneous coronary intervention (PCI) of CTO remains challenging, with observed success rates that are signif...

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Left main percutaneous coronary intervention.

The introduction of drug-eluting stents and advances in catheter techniques have led to increasing acceptance of percutaneous coronary intervention (PCI) as a viable alternative to coronary artery bypass graft (CABG) for unprotected left main disease. Current guidelines state that it is reasonable to consider unprotected left main PCI in patients with low to intermediate anatomic complexity who...

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Chronic total occlusion of left main coronary artery.

Chronic total occlusion of left main coronary artery is a very rare angiographic finding as majority of these patients do not survive long enough to undergo coronary angiography. We describe a patient with angiographic findings of chronic total occlusion of left main coronary artery with left coronary circulation collateralized from right coronary artery.

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2019

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2019.03.284