open access

Vol 67, No 6 (2009)
Other
Published online: 2009-06-24
Submitted: 2012-12-28
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Angiogram of the month
Successful rescue of a perforated chronic total occlusion using retrograde technique

Jong Chun Nah, Wook Hyun Cho, Suk Koo Choi
Kardiol Pol 2009;67(6):690-693.

open access

Vol 67, No 6 (2009)
Other
Published online: 2009-06-24
Submitted: 2012-12-28

Abstract

Percutaneous coronary intervention of chronic total occlusion (CTO) is one of the greatest challenges in coronary interventions. Retrograde wiring is suggested as a solution to improve the success rate of intervention for CTO. We experienced the coronary perforation during antegrade wiring at the CTO lesion and sealed it using retrograde wiring and antegrade stenting in a patient who underwent coronary arterial bypass grafting. We found that, in selected cases, the retrograde wire technique may provide a valuable rescue option for perforated CTO in a patient having a retrogradely accessible conduit vessel.

Abstract

Percutaneous coronary intervention of chronic total occlusion (CTO) is one of the greatest challenges in coronary interventions. Retrograde wiring is suggested as a solution to improve the success rate of intervention for CTO. We experienced the coronary perforation during antegrade wiring at the CTO lesion and sealed it using retrograde wiring and antegrade stenting in a patient who underwent coronary arterial bypass grafting. We found that, in selected cases, the retrograde wire technique may provide a valuable rescue option for perforated CTO in a patient having a retrogradely accessible conduit vessel.
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Keywords

percutaneous coronary intervention; total occlusions; coronary rupture; cardiac tamponade

About this article
Title

Angiogram of the month
Successful rescue of a perforated chronic total occlusion using retrograde technique

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 6 (2009)

Pages

690-693

Published online

2009-06-24

Bibliographic record

Kardiol Pol 2009;67(6):690-693.

Keywords

percutaneous coronary intervention
total occlusions
coronary rupture
cardiac tamponade

Authors

Jong Chun Nah
Wook Hyun Cho
Suk Koo Choi

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