Document Detail


Snaring the retrograde wire in the aortic root for chronic total occlusion after Bentall operation in a patient with Behcet's disease.
MedLine Citation:
PMID:  19571358     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Snaring the retrograde wire in the aortic root was successfully performed for treatment of a chronic total occlusion (CTO) lesion of a saphenous vein graft interposed between a prosthetic graft and the right coronary artery (RCA) ostium in a patient with Behcet's disease after two Bentall operations. Although the coronary guidewire and balloon were able to cross the CTO lesion retrogradely, the coronary guidewire was unable to cross antegradely after ballooning because of intractable engagement of the guiding catheter. A 300 cm guidewire was inserted retrogradely and the guidewire was pulled out of the sheath placed in the right radial artery using a snare. Subsequently, the microcatheter was inserted antegradely into the RCA using the guidewire. The 300 cm guidewire was removed and a standard guidewire was inserted antegradely into the RCA. Finally, a drug-eluting stent was successfully implanted in this difficult-to-treat CTO lesion.
Authors:
Yoritaka Otsuka; Yu Kataoka; Tetsuya Fukuda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  21     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E137-40     Citation Subset:  IM    
Affiliation:
National Cardiovascular Center, Suita, Osaka, Japan. yotsuka@hsp.ncvc.go.jp
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