scholarly journals TCT-72 Primary Versus Secondary Retrograde Approach in Chronic Total Occlusion Interventions

2021 ◽  
Vol 78 (19) ◽  
pp. B30-B31
Author(s):  
Spyridon Kostantinis ◽  
Khaldoon Alaswad ◽  
Dimitri Karmpaliotis ◽  
Farouc Amin Jaffer ◽  
Wissam Jaber ◽  
...  
Keyword(s):  
Chronic Total Occlusion ◽  
Retrograde Approach ◽  
Total Occlusion

scholarly journals Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total Occlusion Intervention

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Abdul-rahman R. Abdel-karim ◽  
Minh Vo ◽  
Michael L. Main ◽  
J. Aaron Grantham
Keyword(s):  
Chronic Total Occlusion ◽  
Rare Complication ◽  
Percutaneous Coronary Interventions ◽  
Retrograde Approach ◽  
Total Occlusion ◽  
St Segment Elevation ◽  
St Segment ◽  
Percutaneous Coronary ◽  
Coronary Cameral Fistula ◽  
Benign Course

Interventricular septal hematoma is a rare complication of retrograde chronic total occlusion (CTO) percutaneous coronary interventions (PCI) with a typically benign course. Here we report two cases of interventricular septal hematoma and coronary-cameral fistula development after right coronary artery (RCA) CTO-PCI using a retrograde approach. Both were complicated by development of ST-segment elevation and chest pain. One case was managed actively and the other conservatively, both with a favorable outcome.

scholarly journals Interventricular Septal Hematoma after Retrograde Intervention for a Chronic Total Occlusion of a Right Coronary Artery: Echocardiographic and Magnetic Resonance Imaging—Diagnosis and Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Makoto Araki ◽  
Tadashi Murai ◽  
Yoshihisa Kanaji ◽  
Junji Matsuda ◽  
Eisuke Usui ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Magnetic Resonance ◽  
Right Coronary Artery ◽  
Chronic Total Occlusion ◽  
Rare Complication ◽  
Interventricular Septum ◽  
Success Rates ◽  
Retrograde Approach ◽  
Total Occlusion

The reverse CART technique provides the potential to modify the retrograde procedure by improving the controlled movement of the retrograde wire and improve the success rates of percutaneous coronary intervention (PCI) of chronic total occlusion (CTO). Development of interventricular hematoma is a rare complication of CTO PCI. A 63-year-old man with effort angina with a right coronary artery CTO lesion underwent PCI by retrograde approach from the LAD to a septal branch. A contrast “stain” was demonstrated surrounding the septal collateral channel used for the retrograde approach at the end of the procedure without symptom. Echocardiography indicated an increased interventricular septum thickness with low echo signals region and decreased contractility. Cardiac magnetic resonance (CMR) imaging using gadolinium showed a diffusely thickened septum with a low signal fusiform neocavitation delimited by an enhanced-signal ring suggesting intraventricular septal dissecting hematoma. After conservative treatment, follow-up echocardiogram and CMR showed the resolution of the hematoma without clinical events. This case highlights the potentially lethal complication of septal perforator dissection and hematoma that may cause severe myocardial injury caused by retrograde approach for CTO PCI.

Use of the retrograde approach for treating a ‘balloon-uncrossable’ coronary chronic total occlusion

2014 ◽  
Vol 6 (3) ◽  
pp. 261-264
Author(s):  
Anna P Kotsia ◽  
George C Christopoulos ◽  
Emmanouil S Brilakis
Keyword(s):  
Chronic Total Occlusion ◽  
Retrograde Approach ◽  
Total Occlusion

Technical and procedural outcomes of the retrograde approach to chronic total occlusion interventions

2020 ◽  
Vol 16 (11) ◽  
pp. e891-e899
Author(s):  
Peter Tajti ◽  
Iosif Xenogiannis ◽  
Fotis Gargoulas ◽  
Dimitri Karmpaliotis ◽  
Khaldoon Alaswad ◽  
...  
Keyword(s):  
Chronic Total Occlusion ◽  
Retrograde Approach ◽  
Total Occlusion ◽  
Procedural Outcomes
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