Novel use of cutting balloon to treat subintimal hematomas during chronic total occlusion interventions

Minh N. Vo; Emmanouil S. Brilakis; J. Aaron Grantham

doi:10.1002/ccd.27184

Novel use of cutting balloon to treat subintimal hematomas during chronic total occlusion interventions

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

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Contemporary chronic total occlusion (CTO) percutaneous coronary interventional (PCI) techniques are increasingly dependent upon dissection and reentry techniques (DARTs) especially for long occluded lesions. DARTs can result in compressive hematomas during CTO interventions and traditional treatment with balloon angioplasty and/or coronary stenting are often suboptimal and may extend the hematoma distally. We describe the novel use of a cutting balloon to "express" these compressive hematomas and restore antegrade coronary blood flow.

Original language	English (US)
Journal	Catheterization and Cardiovascular Interventions
DOIs	https://doi.org/10.1002/ccd.27184
State	Accepted/In press - 2017

Keywords

Chronic total occlusion
Dissection and reentry techniques
Percutaneous coronary intervention

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Access to Document

10.1002/ccd.27184

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AB - Contemporary chronic total occlusion (CTO) percutaneous coronary interventional (PCI) techniques are increasingly dependent upon dissection and reentry techniques (DARTs) especially for long occluded lesions. DARTs can result in compressive hematomas during CTO interventions and traditional treatment with balloon angioplasty and/or coronary stenting are often suboptimal and may extend the hematoma distally. We describe the novel use of a cutting balloon to "express" these compressive hematomas and restore antegrade coronary blood flow.

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KW - Percutaneous coronary intervention

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