Use of chronic total occlusion percutaneous coronary intervention techniques for treating acute vessel closure.
Arslan ShaukatMichael MooneyM Nicholas BurkeEmmanouil S BrilakisPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2018)
Acute vessel closure due to dissection is a known complication of percutaneous coronary intervention and can be challenging to treat, especially if guidewire position is lost. Re-entering into the distal true lumen is commonly done during chronic total occlusion interventions, as part of antegrade dissection strategies. We report two cases of acute vessel closure and guidewire position loss in which the Stingray LP system was successfully used to advance a guidewire into the distal true lumen and recanalize the occluded vessel.
Keyphrases
- percutaneous coronary intervention
- liver failure
- respiratory failure
- drug induced
- acute myocardial infarction
- acute coronary syndrome
- st segment elevation myocardial infarction
- aortic dissection
- coronary artery disease
- antiplatelet therapy
- minimally invasive
- coronary artery bypass grafting
- hepatitis b virus
- heart failure
- physical activity
- extracorporeal membrane oxygenation
- mechanical ventilation
- acute respiratory distress syndrome