Skip to main content
SpringerLink
Log in

Retrograde approach via left internal mammary artery using a 5 Fr guiding catheter

  • Case Report
  • Published:
Cardiovascular Intervention and Therapeutics Aims and scope Submit manuscript

Abstract

A 64-year-old female, who had undergone CABG previously, was admitted to our hospital because of non-ST elevation myocardial infarction with acute heart failure. The SVG-RCA was judged the culprit vessel because of the angiographical thrombus. However, primary percutaneous coronary intervention (PCI) in the SVG-RCA had a high risk of distal embolism and might have had caused critical slow flow. Primary PCI to the native right coronary artery (RCA) with retrograde approach using the septal channel from left anterior descending artery bypassed by LIMA was successfully performed. A 5 Fr JR-4.0 guiding catheter was deeply engaged to the mid part of LIMA following the microcatheter, and the wire finally reached the distal part of RCA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Surmely JF, Tsuchikane E, Katoh O, Nishida Y, Nakayama M, Nakamura S, 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 

  2. Rathore S, Matsuo H, Terashima M, Kinoshita Y, Kimura M, Tsuchikane E, et al. Procedural and in-hospital outcomes after percutaneous coronary intervention for chronic total occlusions of coronary arteries 2002–2008: impact of novel guidewire techniques. JACC Cardiovasc Interv. 2009;2:489–97.

    Article  PubMed  Google Scholar 

  3. Morino Y, Abe M, Morimoto T, Kimura T, Hayashi Y, Muramatsu T, et al. Predicting successful guidewire crossing through chronic total occlusion of native coronary lesions within 30 min: the J-CTO (Multicenter CTO Registry in Japan) score as a difficulty grading and time assessment tool. JACC Cardiovasc Interv. 2011;4:213–21.

    Article  PubMed  Google Scholar 

  4. Kimura M, Katoh O, Tsuchikane E, Nasu K, Kinoshita Y, Ehara M, et al. The efficacy of a bilateral approach for treating lesions with chronic total occlusions the CART (controlled antegrade and retrograde subintimal tracking) registry. JACC Cardiovasc Interv. 2009;2:1135–41.

    Article  PubMed  Google Scholar 

  5. Michael TT, Banerjee S, Brilakis ES. Role of internal mammary artery bypass grafts in retrograde chronic total occlusion interventions. J Invasive Cardiol. 2012;24:359–62.

    PubMed  Google Scholar 

  6. Nashef SA, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, et al. EuroSCORE II. Eur J Cardiothorac Surg. 2012;41:734–44 discussion 744-5.

    Article  PubMed  Google Scholar 

  7. Peterson LR, Chandra NC, French WJ, Rogers WJ, Weaver WD, Tiefenbrunn AJ. Reperfusion therapy in patients with acute myocardial infarction and prior coronary artery bypass graft surgery (National Registry of Myocardial Infarction-2). Am J Cardiol. 1999;84:1287–91.

    Article  CAS  PubMed  Google Scholar 

  8. Gaglia MA Jr, Torguson R, Xue Z, Gonzalez MA, Ben-Dor I, Suddath WO, et al. Outcomes of patients with acute myocardial infarction from a saphenous vein graft culprit undergoing percutaneous coronary intervention. Catheter Cardiovasc Interv. 2011;78:23–9.

    Article  PubMed  Google Scholar 

  9. Welsh RC, Granger CB, Westerhout CM, Blankenship JC, Holmes DR Jr, O’Neill WW, et al. Prior coronary artery bypass graft patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention. JACC Cardiovasc Interv. 2010;3:343–51.

    Article  PubMed  Google Scholar 

  10. Harskamp RE, Kuijt WJ, Damman P, Beijk MA, Grundeken MJ, Woudstra P, et al. Percutaneous coronary intervention for acute coronary syndrome due to graft failure: use of bare-metal and drug-eluting stents and subsequent long-term clinical outcome. Catheter Cardiovasc Interv. 2014;83:203–9.

    Article  PubMed  Google Scholar 

  11. Pucelikova T, Mehran R, Kirtane AJ, Kim YH, Fahy M, Weisz G, et al. Short- and long-term outcomes after stent-assisted percutaneous treatment of saphenous vein grafts in the drug-eluting stent era. Am J Cardiol. 2008;101:63–8.

    Article  PubMed  Google Scholar 

  12. Abdel-Karim AR, Banerjee S, Brilakis ES. Percutaneous intervention of acutely occluded saphenous vein grafts: contemporary techniques and outcomes. J Invasive Cardiol. 2010;22:253–7.

    PubMed  Google Scholar 

  13. De Felice F, Fiorilli R, Parma A, Nazzaro M, Musto C, Sbraga F, et al. 3-year clinical outcome of patients with chronic total occlusion treated with drug-eluting stents. JACC Cardiovasc Interv. 2009;2:1260–5.

    Article  PubMed  Google Scholar 

  14. Fitzgibbon GM, Kafka HP, Leach AJ, Keon WJ, Hooper GD, Burton JR. Coronary bypass graft fate and patient outcome: angiographic follow-up of 5065 grafts related to survival and reoperation in 1388 patients during 25 years. J Am Coll Cardiol. 1996;28:616–26.

    Article  CAS  PubMed  Google Scholar 

  15. Gruberg L, Dangas G, Mehran R, Hong MK, Waksman R, Mintz GS, et al. Percutaneous revascularization of the internal mammary artery graft: short- and long-term outcomes. J Am Coll Cardiol. 2000;35:944–8.

    Article  CAS  PubMed  Google Scholar 

  16. Schobel WA, Spyridopoulos I, Hoffmeister HM, Seipel L. Percutaneous coronary interventions using a new 5 French guiding catheter: results of a prospective study. Catheter Cardiovasc Interv. 2001;53:308–12.

    Article  CAS  PubMed  Google Scholar 

  17. Takahashi S, Saito S, Tanaka S, Miyashita Y, Shiono T, Arai F, et al. New method to increase a backup support of a 6 French guiding coronary catheter. Catheter Cardiovasc Interv. 2004;63:452–6.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors report no financial relationships or conflicts of interest regarding the content herein.

Author information

Authors and Affiliations

  1. Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan

    Sho Torii, Naoki Masuda & Yuji Ikari

Authors
  1. Sho Torii
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Naoki Masuda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yuji Ikari
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sho Torii.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Torii, S., Masuda, N. & Ikari, Y. Retrograde approach via left internal mammary artery using a 5 Fr guiding catheter. Cardiovasc Interv and Ther 31, 156–160 (2016). https://doi.org/10.1007/s12928-015-0333-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-015-0333-5

Keywords

Search

Navigation