Document Detail

Treatment of in-stent chronic total occlusions with blunt microdissection.
MedLine Citation:
PMID:  16327036     Owner:  NLM     Status:  MEDLINE    
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.
Paul C Ho
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  17     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-05     Completed Date:  2006-03-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E37-9     Citation Subset:  IM    
Division of Cardiology, Hawaii Kaiser Health Plan, Kaiser Foundation Hospital, Honolulu, Hawaii, USA.
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MeSH Terms
Coronary Angiography
Coronary Disease / surgery*
Coronary Restenosis / radiography,  surgery*
Microdissection / instrumentation*,  methods
Middle Aged

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