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The use of a cutting balloon in contemporary reverse controlled antegrade and retrograde subintimal tracking (reverse CART) technique

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Abstract

The key concept of reverse controlled antegrade and retrograde tracking (CART) technique is retrograde puncture with a tapered wire to an antegrade balloon (contemporary reverse CART) or new connections between the antegrade and retrograde subintimal space (classical reverse CART). In our case, a 75-year-old man with severe chronic total occlusion of the right coronary artery, reverse CART with conventional balloons could not be accomplished. Externalization wiring was completed by contemporary reverse CART using a cutting balloon as an antegrade balloon to improve the fenestration force of the retrograde guidewire. Thus, the use of a cutting balloon for contemporary reverse CART might be promising.

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Authors and Affiliations

  1. Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu, Shizuoka, 430-8558, Japan

    Keisuke Nakabayashi, Hisayuki Okada & Toshiaki Oka

Authors
  1. Keisuke Nakabayashi
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  2. Hisayuki Okada
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  3. Toshiaki Oka
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Correspondence to Keisuke Nakabayashi.

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The authors have no conflict of interest to disclosure.

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Written informed consents were obtained from all the study patients.

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Nakabayashi, K., Okada, H. & Oka, T. The use of a cutting balloon in contemporary reverse controlled antegrade and retrograde subintimal tracking (reverse CART) technique. Cardiovasc Interv and Ther 32, 263–268 (2017). https://doi.org/10.1007/s12928-016-0410-4

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  • DOI: https://doi.org/10.1007/s12928-016-0410-4

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