| "Rendezvous in coronary" technique with the retrograde approach for chronic total occlusion. | |
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MedLine Citation:
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PMID: 20814063 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Percutaneous coronary intervention (PCI) was performed for a chronic total occlusion (CTO) of the right coronary artery (RCA) in a 77-year-old male patient. A guidewire could not be passed through the vessel using the antegrade approach, so we tried the retrograde approach via a collateral septal channel. A Fielder FC guidewire (Asahi Intecc Co. Ltd., Aichi, Japan) was passed through the septal channel, and a Corsair catheter (Asahi Intecc) was advanced to the distal side of the CTO in the RCA. However, the guidewire could not be advanced from the false lumen to the true lumen using the kissing-wire technique (KWT) or the reverse controlled antegrade retrograde tracking (CART) technique. Therefore, we retracted the Corsair channel dilator for a #4PD and tried to advance the antegrade Conquest Pro guidewire (Asahi Intecc) from a straight subintimal site into the retrograde channel dilator catheter. After several attempts, the antegrade Conquest guidewire successfully entered the retrograde channel dilator catheter. Subsequently, a Cypher stent (Cordis Corp., Miami Lakes, Florida) was successfully placed. The "rendezvous in coronary" technique was useful for this CTO patient, in whom it was difficult to advance a guidewire into the true lumen by the KWT and CART techniques during the retrograde approach. |
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Authors:
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Toshiya Muramatsu; Reiko Tsukahara; Yoshiaki Ito |
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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: 22 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-03 Completed Date: 2011-01-19 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: E179-82 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Saiseikai Yokohama-city Eastern Hospital, 36-1 Shimosueyoshi, Tsurumi, Yokohama-shi, Kanagawa 230012 Japan. t-mura@tj8.so-net.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Balloon, Coronary / instrumentation*, methods* Chronic Disease Coronary Angiography Coronary Artery Disease / radiography, therapy* Heart Catheterization Humans Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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