TCTAP C-115 Retrograde Chronic Total Occlusion via Ipsilateral Collaterals
نویسندگان
چکیده
منابع مشابه
Excimer laser coronary atherectomy in septal collaterals during retrograde recanalization of a chronic total occlusion
Management of chronic total occlusions has been refined through the development of a retrograde approach via collateral pathways. We describe here the use of excimer laser coronary atherectomy in the septal collaterals. This appraoch was not yet described in the literature.
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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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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 through a collateral artery is now thought to improve the success rate of percutaneous coronary intervention (PCI) for coronary chronic total occlusion (CTO), and different kinds of strategies for this technique have been developed. However, the basic principles of PCI for CTO, such as firm back-up support with a guiding catheter and fine control of the guide wire, shoul...
متن کاملRetrograde approach for chronic total occlusion percutaneous revascularization
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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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2014
ISSN: 0735-1097
DOI: 10.1016/j.jacc.2014.02.382