TY - JOUR
T1 - Distal open sesame and hairpin wire techniques to facilitate a chronic total occlusion intervention
AU - Michael, Tesfaldet
AU - Banerjee, Subhash
AU - Brilakis, Emmanouil S.
PY - 2012/3
Y1 - 2012/3
N2 - We describe a novel distal open sesame and hairpin wire technique application in a right coronary artery (RCA) chronic total occlusion intervention. Antegrade wiring was successful in entering an acute marginal branch distal to the occlusion, but not the mid RCA. After predilation, antegrade flow was restored but the mid RCA could not be wired in spite of using multiple different guidewires. A hairpin was created in a polymer jacketed guidewire, advanced into the acute marginal branch, and withdrawn, allowing wiring of the mid RCA, which was successfully stented using a variety of guide support and lesion preparation techniques.
AB - We describe a novel distal open sesame and hairpin wire technique application in a right coronary artery (RCA) chronic total occlusion intervention. Antegrade wiring was successful in entering an acute marginal branch distal to the occlusion, but not the mid RCA. After predilation, antegrade flow was restored but the mid RCA could not be wired in spite of using multiple different guidewires. A hairpin was created in a polymer jacketed guidewire, advanced into the acute marginal branch, and withdrawn, allowing wiring of the mid RCA, which was successfully stented using a variety of guide support and lesion preparation techniques.
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M3 - Article
C2 - 22388317
AN - SCOPUS:84858409958
SN - 1042-3931
VL - 24
SP - E57-E59
JO - Journal of Invasive Cardiology
JF - Journal of Invasive Cardiology
IS - 3
ER -