Limits...
Chronic total occlusion in ostium of right coronary artery - retrograde approach as the first-choice method of revascularization?

Bryniarski L, Kameczura T, Surowiec S, Januś B, Derlaga B, Dudek D, Czarnecka D - Postepy Kardiol Interwencyjnej (2013)

Bottom Line: Recanalization of chronic total occlusion (CTO) located in the ostium may require the operator's ability to use the retrograde approach.We present a case of opening a chronically occluded right coronary artery (RCA) by the retrograde approach after an unsuccessful attempt of recanalization by classic antegrade technique.

View Article: PubMed Central - PubMed

Affiliation: 1 Department of Cardiology, Interventional Electrocardiology and Arterial Hypertension, Hospital University, Collegium Medicum Jagiellonian University, Krakow, Poland.

ABSTRACT
Recanalization of chronic total occlusion (CTO) located in the ostium may require the operator's ability to use the retrograde approach. We present a case of opening a chronically occluded right coronary artery (RCA) by the retrograde approach after an unsuccessful attempt of recanalization by classic antegrade technique.

No MeSH data available.


Related in: MedlinePlus

Injection of contrast media to left coronary artery. Arrows show septal artery connected with distal part of RCA
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3927105&req=5

Figure 0002: Injection of contrast media to left coronary artery. Arrows show septal artery connected with distal part of RCA

Mentions: The patient was admitted to the First Department of Cardiology, Interventional Electrocardiology and Hypertension of Jagiellonian University Medical College in Krakow 14 months after the last attempt of recanalization. Two arterial accesses were obtained, the main one from the right femoral artery. For visualization of the proximal segment of the RCA contralateral injections to the LCA were performed. For this reason, for intubations of the LCA a left Amplatz 4.0 7 Fr (Medtronic Vascular, USA) with side holes was used. The attempt of streamlining the occlusion by an antegrade method with a Fielder XT guidewire (Asahi Intecc, Japan) introduced on an OTW (“over the wire”) balloon was unsuccessful. Because of unfavorable morphology, small chance of success using the classical antegrade method, and the presence of the perforator connecting with the distal segment of the RCA (Figure 2), the operator decided to apply the retrograde method.


Chronic total occlusion in ostium of right coronary artery - retrograde approach as the first-choice method of revascularization?

Bryniarski L, Kameczura T, Surowiec S, Januś B, Derlaga B, Dudek D, Czarnecka D - Postepy Kardiol Interwencyjnej (2013)

Injection of contrast media to left coronary artery. Arrows show septal artery connected with distal part of RCA
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927105&req=5

Figure 0002: Injection of contrast media to left coronary artery. Arrows show septal artery connected with distal part of RCA
Mentions: The patient was admitted to the First Department of Cardiology, Interventional Electrocardiology and Hypertension of Jagiellonian University Medical College in Krakow 14 months after the last attempt of recanalization. Two arterial accesses were obtained, the main one from the right femoral artery. For visualization of the proximal segment of the RCA contralateral injections to the LCA were performed. For this reason, for intubations of the LCA a left Amplatz 4.0 7 Fr (Medtronic Vascular, USA) with side holes was used. The attempt of streamlining the occlusion by an antegrade method with a Fielder XT guidewire (Asahi Intecc, Japan) introduced on an OTW (“over the wire”) balloon was unsuccessful. Because of unfavorable morphology, small chance of success using the classical antegrade method, and the presence of the perforator connecting with the distal segment of the RCA (Figure 2), the operator decided to apply the retrograde method.

Bottom Line: Recanalization of chronic total occlusion (CTO) located in the ostium may require the operator's ability to use the retrograde approach.We present a case of opening a chronically occluded right coronary artery (RCA) by the retrograde approach after an unsuccessful attempt of recanalization by classic antegrade technique.

View Article: PubMed Central - PubMed

Affiliation: 1 Department of Cardiology, Interventional Electrocardiology and Arterial Hypertension, Hospital University, Collegium Medicum Jagiellonian University, Krakow, Poland.

ABSTRACT
Recanalization of chronic total occlusion (CTO) located in the ostium may require the operator's ability to use the retrograde approach. We present a case of opening a chronically occluded right coronary artery (RCA) by the retrograde approach after an unsuccessful attempt of recanalization by classic antegrade technique.

No MeSH data available.


Related in: MedlinePlus