Document Detail

Septum hematoma: a complication of retrograde wiring in chronic total occlusion.
MedLine Citation:
PMID:  16790284     Owner:  NLM     Status:  MEDLINE    
In spite of the remarkable technological innovation and improved outcomes with percutaneous coronary intervention (PCI), chronically total occlusion in coronary arteries (CTO) remains a formidable challenge for coronary interventionalist. Recently Japanese interventionists have proposed a retrograde wiring technique which provides another way to resolve such difficulties. The retrograde wire in the distal CTO vessel can then be used as a clear landmark in the distal true lumen, facilitating antegrade wiring and possibly increasing the success rate of CTO-PCI. Reported here is a patient who experienced retrograde wire technique but suffered from a complication with septum hematoma and myocardial infarction. The patient had a complete recovery of chest symptoms and resolution of septum hematoma in 1 month. Retrograde wire manipulation should be used as a last resort and via a large collateral vessel in the treatment of CTO.
Tsung-Hsien Lin; Ding-Kwo Wu; Ho-Ming Su; Chih-Sheng Chu; Wen-Chol Voon; Wen-Ter Lai; Sheng-Hsiung Sheu
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Publication Detail:
Type:  Case Reports; Letter     Date:  2006-06-21
Journal Detail:
Title:  International journal of cardiology     Volume:  113     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-06     Completed Date:  2006-12-14     Revised Date:  2007-02-22    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e64-6     Citation Subset:  IM    
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*,  instrumentation
Coronary Angiography
Coronary Stenosis / therapy
Follow-Up Studies
Heart Septum / injuries*,  radiography,  ultrasonography
Hematoma / etiology*,  radiography,  ultrasonography
Middle Aged
Remission, Spontaneous
Tomography, X-Ray Computed

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

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