Use of chronic total occlusion percutaneous coronary intervention techniques for treating acute vessel closure

Catheter Cardiovasc Interv. 2018 Dec 1;92(7):1297-1300. doi: 10.1002/ccd.27868. Epub 2018 Sep 14.

Abstract

Acute vessel closure due to dissection is a known complication of percutaneous coronary intervention and can be challenging to treat, especially if guidewire position is lost. Re-entering into the distal true lumen is commonly done during chronic total occlusion interventions, as part of antegrade dissection strategies. We report two cases of acute vessel closure and guidewire position loss in which the Stingray LP system was successfully used to advance a guidewire into the distal true lumen and recanalize the occluded vessel.

Keywords: PCI; complications; coronary aneurysm/dissection/perforation; coronary artery disease.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Angioplasty, Balloon, Coronary / instrumentation
  • Angioplasty, Balloon, Coronary / methods*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / etiology
  • Aortic Dissection / therapy*
  • Chronic Disease
  • Coronary Aneurysm / diagnostic imaging
  • Coronary Aneurysm / etiology
  • Coronary Aneurysm / therapy*
  • Coronary Occlusion / diagnostic imaging
  • Coronary Occlusion / therapy*
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / therapy*
  • Drug-Eluting Stents
  • Female
  • Humans
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / instrumentation
  • Percutaneous Coronary Intervention / methods*
  • Treatment Outcome
  • Vascular Calcification / diagnostic imaging
  • Vascular Calcification / therapy*