Successful retrograde visualization and recanalization of chronic ostial occlusion of the left main coronary artery via a saphenous vein graft with the drilled balloon technique
Yükleniyor...
Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Sage Publications Ltd
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
We are representing a case of successful retrograde recanalization of a chronic ostial occlusive lesion of the left main coronary artery (LMCA) via a saphenous vein graft. A 70-year-old male patient, with a history of previous (3 years ago) coronary artery bypass surgery, was evaluated with coronary angiography because of his recent anginal symptoms. Left main coronary artery could not be visualized from the aortic root. It could be visualized with drilled balloon technique which was introduced retrogradely from a saphenous vein graft, and the chronic ostial lesion of the LMCA could be treated with balloon dilatation and stenting. Coronary occlusions can be treated retrogradely via the native collaterals and grafts. The coronaries that are not visualized with an antegrade fashion can be visualized with a retrograde way with the drilled balloon introduced through a patent graft. We could not find any publication about this technique on the web-based research. When encountered with a totally occluded ostial lesion of the LMCA, that cannot be visualized even from the aortic root, it may be tried to be visualized through a patent graft retrogradely. This is a safe and reliable method in patients with a total occlusion of the LMCA who also have a patent saphenous vein graft.
Açıklama
Anahtar Kelimeler
Coronary Artery Bypass Grafting, Interventional Cardiology, Percutaneous Coronary Intervention, Chronic Total Occlusion, Retrograde Intervention
Kaynak
Clinical Medicine Insights-Case Reports
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
12
Sayı
Künye
Balaban, Y., & Elevli, M. G. (2019). Successful Retrograde Visualization and Recanalization of Chronic Ostial Occlusion of the Left Main Coronary Artery via a Saphenous Vein Graft With the Drilled Balloon Technique. CLINICAL MEDICINE INSIGHTS-CASE REPORTS, 12. https://doi.org/10.1177/1179547619852621
