A case of percutaneous coronary intervention for treatment of iatrogenic chronic total occlusion of the left circumflex artery after mitral valve repair

2016 ◽  
Vol 32 (2) ◽  
pp. 146-150 ◽  
Author(s):  
Osahiko Sunagawa ◽  
Makiko Nakamura ◽  
Ryo Hokama ◽  
Takafumi Miyara ◽  
Yoji Taba ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Chronic Total Occlusion ◽  
Coronary Intervention ◽  
Valve Repair ◽  
Circumflex Artery ◽  
Total Occlusion ◽  
Left Circumflex Artery ◽  
Percutaneous Coronary

scholarly journals The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Keisuke Nakabayashi ◽  
Daisuke Sunaga ◽  
Nobuhito Kaneko ◽  
Akihiro Matsui ◽  
Kazuhiko Tanaka ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Chronic Total Occlusion ◽  
Coronary Intervention ◽  
Circumflex Artery ◽  
Total Occlusion ◽  
Left Circumflex Artery ◽  
Rendezvous Technique ◽  
Percutaneous Coronary ◽  
The Wire ◽  
Guiding Catheter

A bidirectional approach for percutaneous coronary intervention for chronic total occlusion (CTO-PCI) using ipsilateral collaterals with a single guiding catheter limits procedural choices. The CTO of the left circumflex artery with ipsilateral collateral artery was treated by the bidirectional approach using a single guiding catheter. While the retrograde wire directly crossed the CTO lesion, the microcatheter could not pass the CTO lesion despite the conventional strategies. Therefore, we performed the wire rendezvous and chasing wire techniques. The wire rendezvous technique enables deeper retrograde guidewire progression, and the antegrade microcatheter can reach the CTO entry. The chasing wire technique enables the antegrade guidewire to pass the route made by the retrograde guidewire. These techniques might offer a possible solution for bidirectional CTO-PCI using a single guiding catheter. However, this technique should be considered as a last resort because of the risk of rapid reocclusion.

Simultaneous Robotic-Assisted Mitral Valve Repair and Percutaneous Coronary Intervention

2010 ◽  
Vol 5 (5) ◽  
pp. 375-377 ◽  
Author(s):  
Corey Adams ◽  
R. Scott McClure ◽  
Aashish Goela ◽  
Daniel Bainbridge ◽  
William J. Kostuk ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Report ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Coronary Intervention ◽  
Valve Repair ◽  
Operating Theater ◽  
Robotic Assisted ◽  
Percutaneous Coronary ◽  
The Right

We present a case report of a robotic-assisted mitral valve repair with simultaneous percutaneous coronary intervention. A 58-year-old man presented with New York Heart Association class III symptoms from severe mitral regurgitation and significant stenosis of the right coronary artery. In a hybrid operating theater, the patient underwent placement of a bare metal stent in the right coronary artery followed immediately by robotic-assisted mitral valve repair. Both procedures were successful and occurred in a timely fashion. The patient experienced no immediate postoperative complications and was discharged home on postoperative day 5. At 2-week follow-up, he had returned to his normal activities of daily living and at 1 year remained asymptomatic. This case report demonstrates the benefits of minimally invasive robotic mitral valve repair in allowing for successful repair, early postoperative return to activity, minimal incision pain, and high patient satisfaction. It further highlights the potential benefit of a hybrid operating theater in allowing surgical and percutaneous coronary intervention procedures to be delivered in a safe and efficient manner.

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