Document Detail


Distal side branch entry technique to accomplish recanalization of a complex and heavily calcified chronic total occlusion.
MedLine Citation:
PMID:  17986734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous intervention for complex coronary chronic total occlusions (CTO) remains challenging in spite of the improvement in wiring techniques and devices available today. The antegrade wiring approach remains the most common method for crossing and intervening in chronic total occlusions. Distal intraluminal wire placement is the most critical step in accomplishing recanalization of a chronic total occlusion. Creation of multiple dissection planes with wires is not an uncommon occurrence prior to success. We describe the use of distal side branch entry to prove luminal entry and subsequent use of the contralateral injection technique to guide distal wire placement after utilization of the parallel wire technique to recanalize a long, calcified and complex chronic total occlusion.
Authors:
Farrukh Hussain
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  19     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-07     Completed Date:  2008-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E340-2     Citation Subset:  IM    
Affiliation:
Department of Cardiology, St. Boniface General Hospital, University of Manitoba, Winnipeg, Manitoba, Canada. farrukh7@mts.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary*
Calcinosis / radiography,  therapy*
Chronic Disease
Coronary Angiography
Coronary Occlusion / radiography,  therapy*
Coronary Vessels / pathology*
Humans
Male
Stents*

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


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