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Catheter Cardiovasc Interv. 2018 Sep 14. doi: 10.1002/ccd.27868. [Epub ahead of print]

Use of chronic total occlusion percutaneous coronary intervention techniques for treating acute vessel closure.

Author information

1
Minneapolis Heart Institute, Abbott Northwestern Hospital and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota.

Abstract

Acute vessel closure due to dissection is a known complication of percutaneous coronary intervention and can be challenging to treat, especially if guidewire position is lost. Re-entering into the distal true lumen is commonly done during chronic total occlusion interventions, as part of antegrade dissection strategies. We report two cases of acute vessel closure and guidewire position loss in which the Stingray LP system was successfully used to advance a guidewire into the distal true lumen and recanalize the occluded vessel.

KEYWORDS:

PCI; complications; coronary aneurysm/dissection/perforation; coronary artery disease

PMID:
30218469
DOI:
10.1002/ccd.27868

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