Abstract
Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) presents unique challenges and potential complications. The two most common failure modes are inability to cross the lesion with a guidewire and failure to cross the CTO with a balloon after successful guidewire crossing ("balloon-uncrossable" CTO). We present a creative solution to assist crossing of balloon-uncrossable CTOs that entails use of a balloon placed over a wire that has been advanced though the subintimal space to anchor the guidewire that has crossed through the CTO true lumen enabling lesion crossing with a balloon.
Original language | English (US) |
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Pages (from-to) | 552-554 |
Number of pages | 3 |
Journal | Journal of Invasive Cardiology |
Volume | 25 |
Issue number | 10 |
State | Published - Oct 2013 |
Keywords
- PCI
- chronic total occlusions
- complications
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine