Transcoronary Rapid Pacing Solving a Complex Retrograde Chronic Total Occlusion Procedure

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[Retrograde angioplasty in chronic total occlusion].

The present article presents the case of a 70-year-old male, with a history of acute anterolateral myocardiac infarction (AMI) in 1986 and inferior AMI in 1992. Coronary arteriography was performed in 1995, which showed occlusion of the distal RCA and stenosis in 90% of the proximal LAD, with an ejection fraction (EF) of 29%. Balloon angioplasty was performed in the proximal LAD. The patient wa...

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Retrograde Coronary Chronic Total Occlusion Intervention

Coronary chronic total occlusion (CTO) is a frequent finding in patients with coronary artery disease. It remains one of the most challenging subsets, accounting for 10-20% of all percutaneous coronary interventions (PCI). Although remarkable progress in PCI has been made, it is reasonable to state that successful recanalization of CTO represents the "last frontier" of PCI. PCI of CTOs has been...

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The retrograde approach via collateral chan­ nels in coronary angioplasty for chronic total occlusion (CTO) can improve the recanaliza­ tion success rate. Most interventionalists will meet a few cases where the retrograde approach might provide unequaled advantages, but many are held back from choosing the retrograde approach owing to a lack of proper equipment and expertise. The retrograde app...

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Retrograde Approach for Chronic Total Occlusion Percutaneous Coronary Intervention

Large multicenter registries reporting outcomes associated with percutaneous coronary intervention (PCI) for the treatment of chronic total occlusions (CTO) have shown progressively increasing rates of overall procedural success with acceptably low complication rates in highly experienced centers. The significantly enhanced success rates of percutaneous CTO revascularization can be attributed t...

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ژورنال

عنوان ژورنال: JACC: Case Reports

سال: 2019

ISSN: 2666-0849

DOI: 10.1016/j.jaccas.2019.10.033