Treatment of inadvertent subintimal stenting during intervention of a coronary chronic total occlusion

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5 Scopus citations

Abstract

We present a case of percutaneous coronary intervention of a chronic total occlusion of the right coronary artery. The lesion could not be crossed with a balloon after guidewire crossing, necessitating repeat crossing using a different pathway. Stent implantation resulted in ST-segment elevation due to inadvertent stent deployment into the subintimal space without distal outflow. A polymer-jacketed guidewire was used to enter the distal branches of the right coronary artery, restoring antegrade flow and resulting in resolution of ST-segment changes.

Original languageEnglish (US)
Pages (from-to)165-169
Number of pages5
JournalInterventional Cardiology (London)
Volume5
Issue number2
DOIs
StatePublished - Apr 1 2013

Keywords

  • chronic total occlusion
  • complication
  • percutaneous coronary intervention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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