Modified subintimal transcatheter withdrawal: A novel technique for hematoma decompression to facilitate distal reentry during coronary chronic total occlusion recanalization

Minh N. Vo, Emmanouil S. Brilakis, Ashish Pershad, J. Aaron Grantham

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A controlled antegrade dissection and reentry technique is the most commonly employed crossing strategy for long coronary chronic total occlusions. The development of compressive hematoma is a recognized complication and results in the impairment of distal vessel visualization and hinders successful reentry attempts. We describe a novel technique utilizing a widely available microcatheter to decompress the subintimal hematoma to restore distal visualization and allow successful reentry.

Original languageEnglish (US)
Pages (from-to)E98-E101
JournalCatheterization and Cardiovascular Interventions
Volume96
Issue number1
DOIs
StatePublished - Jul 1 2020
Externally publishedYes

Keywords

  • chronic total occlusion
  • percutaneous coronary intervention

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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