"Ping-pong" guide catheter technique for retrograde intervention of a chronic total occlusion through an ipsilateral collateral.

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18 Citations (Scopus)

Abstract

We report a novel technique for performing retrograde interventions on a coronary chronic total occlusion through an ipsilateral collateral. Two guiding catheters are used to engage the target coronary artery, one to advance to the retrograde guidewire and the other to externalize the retrograde guidewire and antegrade wiring. Engagement of the target coronary artery is alternating between the antegrade and the retrograde guide catheter in a "ping-pong" fashion, enabling lesion crossing and equipment delivery.

Original languageEnglish (US)
Pages (from-to)395-399
Number of pages5
JournalCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
Volume78
Issue number3
StatePublished - Sep 1 2011

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Coronary Vessels
Catheters
Equipment and Supplies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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N2 - We report a novel technique for performing retrograde interventions on a coronary chronic total occlusion through an ipsilateral collateral. Two guiding catheters are used to engage the target coronary artery, one to advance to the retrograde guidewire and the other to externalize the retrograde guidewire and antegrade wiring. Engagement of the target coronary artery is alternating between the antegrade and the retrograde guide catheter in a "ping-pong" fashion, enabling lesion crossing and equipment delivery.

AB - We report a novel technique for performing retrograde interventions on a coronary chronic total occlusion through an ipsilateral collateral. Two guiding catheters are used to engage the target coronary artery, one to advance to the retrograde guidewire and the other to externalize the retrograde guidewire and antegrade wiring. Engagement of the target coronary artery is alternating between the antegrade and the retrograde guide catheter in a "ping-pong" fashion, enabling lesion crossing and equipment delivery.

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