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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

Injection of contrast medium after stent implantation. TIMI 3 flow
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Figure 0006: Injection of contrast medium after stent implantation. TIMI 3 flow

Mentions: Then, by the antegrade technique, a few sequential balloon inflations by Maverick (Boston Scientific, USA) 1.5 mm × 20 mm and 2.5 mm × 20 mm, to a maximum of 12 atm, were performed. After visualization a Promus Element stent (Boston Scientific, USA) 3.0 mm × 38 mm, 18 atm, was inserted (Figure 5). The result was evaluated as the optimal treatment with TIMI 3 flow (Figure 6). The procedure time was 75 min, 500 ml of contrast media was used, fluoro-time 27.3 min, radiation dose 3.4 Gy. The post-procedural course was uncomplicated. The next day after the procedure the patient was discharged home in good general condition, with the instruction to take optimal pharmacotherapy. A year after the procedure the patient does not report angina symptoms and the test exercise is negative.


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 medium after stent implantation. TIMI 3 flow
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0006: Injection of contrast medium after stent implantation. TIMI 3 flow
Mentions: Then, by the antegrade technique, a few sequential balloon inflations by Maverick (Boston Scientific, USA) 1.5 mm × 20 mm and 2.5 mm × 20 mm, to a maximum of 12 atm, were performed. After visualization a Promus Element stent (Boston Scientific, USA) 3.0 mm × 38 mm, 18 atm, was inserted (Figure 5). The result was evaluated as the optimal treatment with TIMI 3 flow (Figure 6). The procedure time was 75 min, 500 ml of contrast media was used, fluoro-time 27.3 min, radiation dose 3.4 Gy. The post-procedural course was uncomplicated. The next day after the procedure the patient was discharged home in good general condition, with the instruction to take optimal pharmacotherapy. A year after the procedure the patient does not report angina symptoms and the test exercise is negative.

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