Document Detail

CT Coronary Angiography-Guided Percutaneous Coronary Intervention for Chronic Total Occlusion Combined with Retrograde Approach.
MedLine Citation:
PMID:  22210595     Owner:  NLM     Status:  In-Data-Review    
Percutaneous coronary intervention was performed for chronic total occlusion (CTO) of the right coronary artery (RCA) in a 55-year-old man. CT coronary angiography (CTCA) with a 64-slice scanner showed a large calcified plaque at the entrance to the CTO. A stent that had been implanted at the RCA ostium 10 years earlier was angled toward a side branch, suggesting that the guidewire would not reach the true lumen via the antegrade approach. Therefore, we attempted the retrograde approach via a septal collateral with the kissing wire technique. However, the guidewire failed to cross the CTO because of obstruction by the implanted stent. We next attempted the controlled antegrade and retrograde subintimal tracking technique and 2 stents were successfully deployed. In this patient, CTCA provided useful information for management of a difficult CTO.
Hideyuki Takimura; Toshiya Muramatsu; Reiko Tsukahara
Related Documents :
6196865 - Late aneurysms after patch aortoplasty for coarctation of the aorta in adults.
24973845 - Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavit...
24990835 - A case of acute ischemic stroke due to cardiac myxoma treated by intravenous thrombolys...
2119165 - Results of aortic anastomoses made under tension using polydioxanone suture.
24478135 - The effects of air embolism size and location on porcine hepatic microcirculation in ma...
11343995 - Arrhythmic sudden cardiac death in a 3-year-old child with intimal fibroplasia of coron...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  24     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E5-9     Citation Subset:  IM    
Division of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumiku, Yokohamashi, Kanagawaken, Japan 230-0012.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Entrapment of a kinked catheter in the radial artery during transradial coronary angiography.
Next Document:  Physical activity, adiponectin, and cardiovascular structure and function.