A Case Report on Percutaneous Coronary Intervention in Chronic Total Occlusion by Retrograde Visualization

As bilateral approach is paramount in chronic total occlusions with retrograde flow, the use of two radial arteries, two femoral arteries or combination technique using one radial and one femoral artery will probably be increasingly reported in the near future. After puncture of opposite groin, a di...

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Bibliographic Details
Published inMymensingh medical journal : MMJ Vol. 25; no. 4; p. 780
Main Authors Muqueet, M A, Mahmood, M, Hoque, M H, Zaman, S M, Arzu, J, Salim, M A, Rahman, F, Rahman, S
Format Journal Article
LanguageEnglish
Published Bangladesh 01.10.2016
Subjects
Chronic Disease
Coronary Angiography
Coronary Occlusion
Humans
Percutaneous Coronary Intervention
Radial Artery
Treatment Outcome
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Summary:As bilateral approach is paramount in chronic total occlusions with retrograde flow, the use of two radial arteries, two femoral arteries or combination technique using one radial and one femoral artery will probably be increasingly reported in the near future. After puncture of opposite groin, a diagnostic 6 Fr catheter is used to intubate the ostium of the contralateral artery. By visualizing the distal vessel in multiple projections, contralateral injections help to direct the progression of the wire in the occluded segment towards the distal true lumen and confirm the intraluminal position of the wire after the occluded segment. We are reporting a case with chronic total occlusion where we used bilateral femoral access and simultaneous contrast injection to visualize retrograde flow in LAD while opening CTO through ante-grade pathway.
ISSN:1022-4742