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A novel intravascular ultrasound-guided percutaneous coronary angioplasty technique via the retrograde approach for chronic total occlusion

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Abstract

The retrograde approach via native channels, mainly septal collaterals, has now become routine. However even after retrograde advancement of a catheter through a collateral channel, it is sometimes difficult to guide the catheter from a false lumen into the true lumen. We experienced 3 patients in whom the site for retrograde guidewire re-entry site from the chronic total occlusion was unclear, and intravascular ultrasound (IVUS) was useful for identifying the re-entry site. Here we report on this new technique, in which IVUS guides the retrograde guidewire to its re-entry site.

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References

  1. Muramatsu T, Hirano K, Tsukahara R, et al. Long-term outcome of percutaneous transluminal coronary intervention for chronic total occlusion in the BMS era in Japanese. Cardiovasc Interv Ther. 2010;25:78–84.

    Google Scholar 

  2. Kahn JK, Hartzler GO. Retrograde coronary angioplasty of isolated arterial segments through saphenous vein bypass grafts. Catheter Cardiovasc Diagn. 1990;20:88–93.

    Article  CAS  Google Scholar 

  3. Silvestri M, Parikh P, Roquebert PO, et al. Retrograde left main stenting. Catheter Cardiovasc Diagn. 1996;39:396–9.

    Article  CAS  Google Scholar 

  4. Roy PR, Steinberg DH, Sushinsky SJ, et al. The potential clinical utility of intravascular ultrasound guidance in patients undergoing percutaneous coronary intervention with drug-eluting stents. Eur Heart J. 2008;29:1851–7.

    Article  CAS  PubMed  Google Scholar 

  5. Di Mario C, Barlis P, Tanigawa J, et al. Retrograde approach to coronary chronic total occlusions: preliminary single European centre experience. Euro Interv. 2007;3:181–7.

    Google Scholar 

  6. Saito S. Different strategies of retrograde approach in coronary angioplasty for chronic total occlusion. Catheter Cardiovasc Interv. 2008;71:8–19.

    Article  PubMed  Google Scholar 

  7. Rathore S, Katoh O, Matuso H, et al. Retrograde percutaneous recanalization of chronic total occlusion of the coronary arteries. Circ Cardiovasc Interv. 2009;2:124–32.

    Article  PubMed  Google Scholar 

  8. Sianos G, Barlis P, Mario CD, et al. European experience with the retrograde approach for the recanalization of coronary artery chronic total occlusions. A report on behalf of the Euro CTO Club. Eur Interv. 2008;4:84–92.

    Google Scholar 

  9. Surmely F, Tsuchikane E, Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique. J Invasive Cardiol. 2006;18:334–8.

    PubMed  Google Scholar 

  10. Schrale RG, Channon KM, Ormerod OJ. IVUS-guided evaluation and percutaneous intervention in an anomalous left main coronary artery. J Invasive Cardiol. 2007;19:E195–8.

    PubMed  Google Scholar 

  11. Ito S, Suzuki T, Ito T, et al. Novel technique using intravascular ultrasound-guided guidewire cross in coronary intervention for uncrossable chronic total occlusions. Circ J. 2004;68:1088–92.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Kanagawa, 230-8765, Japan

    Toshiya Muramatsu, Reiko Tsukahara & Yoshiaki Ito

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  1. Toshiya Muramatsu
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  2. Reiko Tsukahara
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  3. Yoshiaki Ito
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Correspondence to Toshiya Muramatsu.

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Muramatsu, T., Tsukahara, R. & Ito, Y. A novel intravascular ultrasound-guided percutaneous coronary angioplasty technique via the retrograde approach for chronic total occlusion. Cardiovasc Interv and Ther 26, 45–51 (2011). https://doi.org/10.1007/s12928-010-0033-0

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  • DOI: https://doi.org/10.1007/s12928-010-0033-0

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