| Antegrade balloon transit of retrograde wire to bail out dissected left main during retrograde chronic total occlusion intervention--a variant of the reverse CART technique. | |
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MedLine Citation:
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PMID: 19494417 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Left main dissection is usually caused by catheter manipulation during diagnostic angiography and occasionally during angioplasty. It is a dangerous complication due to the potential risk of left main territory ischemia. We report a novel iatrogenic cause of left main dissection from a retrograde wire during ostial left anterior descending artery chronic total occlusion retrograde angioplasty. We also report the use of the antegrade balloon as a transit chamber for the retrograde wire after a successful reverse CART technique in order to prevent further left main dissection. This technique is applicable to other retrograde approaches for chronic total occlusion cases where proximal artery dissection is undesirable. |
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Authors:
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Eugene B Wu; Wilson W Chan; Cheuk-Man Yu |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 21 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-06-04 Completed Date: 2009-09-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: e113-8 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University Hong Kong, Ngan Shing Street, Shatin, Hong Kong. ebwu@netvigator.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*, instrumentation, methods Coronary Angiography Coronary Occlusion / radiography, therapy* Coronary Vessels / injuries* Humans Male Rupture / diagnosis, etiology Stents Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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