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Catheter Cardiovasc Interv. 2018 Sep 28. doi: 10.1002/ccd.27856. [Epub ahead of print]

Retrograde recanalization of a nonchronic total occlusion lesion.

Author information

1
University of Arkansas for Medical Sciences, Little Rock, Arkansas.
2
John L. McClellan Memorial Veterans Hospital, Little Rock, Arkansas.

Abstract

The use of the retrograde approach to treat chronic total occlusion (CTO) has improved overall success rate in this lesion subgroup. Its use to treat complex non-CTO lesions unable to be revascularized by an antegrade approach has not been described. We report a case of the use of the retrograde approach to recanalize a non-CTO lesion under Impella support in a patient with critical stenosis and poor left ventricular function. The retrograde approach may be an alternate pathway in selected non-CTO lesions where the antegrade has been unsuccessful.

KEYWORDS:

PCI; chronic total occlusion; coronary artery disease; coronary collaterals; percutaneous coronary intervention, complex PCI; stenting technique

PMID:
30265428
DOI:
10.1002/ccd.27856

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