| Treatment of in-stent chronic total occlusions with blunt microdissection. | |
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MedLine Citation:
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PMID: 16327036 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) can be a technical challenge with an average success rate much lower than other lesion types. In-stent restenosis CTOs have inherent features that may be favorable for using the blunt microdissection catheter and may help to improve procedural success. Two successful PCI cases of in-stent restenosis CTO using the blunt microdissection device are presented here. The respective lengths and durations of occlusions are: 40 mm and 1 year, 110 mm and 3 months. Both cases failed initial crossing attempts with conventional and specialized coronary guidewires. Only one other reported case study focused on native coronary in-stent restenosis CTO and the use of the blunt microdissection catheter. This current study presents the use of the blunt microdissection technique in both native coronary and bypass graft in-stent restenosis CTOs. This report adds to the overall experience with this promising approach to a subpopulation of CTO patients with in-stent restenosis. |
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Authors:
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Paul C Ho |
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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: 17 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2005-12-05 Completed Date: 2006-03-09 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: E37-9 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Hawaii Kaiser Health Plan, Kaiser Foundation Hospital, Honolulu, Hawaii, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Catheterization* Coronary Angiography Coronary Disease / surgery* Coronary Restenosis / radiography, surgery* Female Humans Microdissection / instrumentation*, methods Middle Aged Stents* |
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