Chronic total occlusion recanalization for myocardial infarction

Iosif Xenogiannis, Ilias Nikolakopoulos, Evangelia Vemmou, Emmanouil S. Brilakis

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

An 84-year-old patient with prior coronary artery bypass surgery presented with non-ST segment elevation acute myocardial infarction. The culprit lesion was at the distal anastomosis of a saphenous vein graft (SVG) to the right posterior descending artery. The proximal right coronary artery was chronically occluded. Because of significant disease both proximal and distal to the SVG anastomosis, percutaneous intervention of the SVG carried high risk for acute vessel closure. The native right coronary artery chronic total occlusion was successfully recanalized, enabling complete revascularization of the right coronary artery. The SVG was then occluded using an Amplatzer vascular plug.

Original languageEnglish (US)
Pages (from-to)1133-1135
Number of pages3
JournalCatheterization and Cardiovascular Interventions
Volume95
Issue number6
DOIs
StatePublished - May 1 2020

Keywords

  • DK crush
  • chronic total occlusion
  • culprit vessel
  • non-ST segment myocardial infarction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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