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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

When Corsair microcatheter reached ostium of RCA, Sion guidewire was changed for RG3 guidewire (330 cm)
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Figure 0004: When Corsair microcatheter reached ostium of RCA, Sion guidewire was changed for RG3 guidewire (330 cm)

Mentions: For the needs of the retrograde method the operator used an EBU 4.0 7 Fr with side holes (Medtronic Vascular, USA) to the LCA. By means of a BMW guidewire with 150 cm length (Abbott Vascular, USA) a Corsair microcatheter (Asahi Intecc, Japan) was introduced into the septal branch. Then the BMW wire was replaced by a Sion wire (Asahi Intecc, Japan), which was put in the septal branch. Connection with the distal portion of the RCA was confirmed by selective contrast media injection to a microcatheter (Figure 3). The Sion was led to the distal segment of the RCA and passed backward through the occlusion to the catheter used for contralateral injections in the RCA (Figure 4).


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)

When Corsair microcatheter reached ostium of RCA, Sion guidewire was changed for RG3 guidewire (330 cm)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0004: When Corsair microcatheter reached ostium of RCA, Sion guidewire was changed for RG3 guidewire (330 cm)
Mentions: For the needs of the retrograde method the operator used an EBU 4.0 7 Fr with side holes (Medtronic Vascular, USA) to the LCA. By means of a BMW guidewire with 150 cm length (Abbott Vascular, USA) a Corsair microcatheter (Asahi Intecc, Japan) was introduced into the septal branch. Then the BMW wire was replaced by a Sion wire (Asahi Intecc, Japan), which was put in the septal branch. Connection with the distal portion of the RCA was confirmed by selective contrast media injection to a microcatheter (Figure 3). The Sion was led to the distal segment of the RCA and passed backward through the occlusion to the catheter used for contralateral injections in the RCA (Figure 4).

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