Novel use of cutting balloon to treat subintimal hematomas during chronic total occlusion interventions.
Minh N VoEmmanouil S BrilakisJ Aaron GranthamPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2017)
Contemporary chronic total occlusion (CTO) percutaneous coronary interventional (PCI) techniques are increasingly dependent upon dissection and reentry techniques (DARTs) especially for long occluded lesions. DARTs can result in compressive hematomas during CTO interventions and traditional treatment with balloon angioplasty and/or coronary stenting are often suboptimal and may extend the hematoma distally. We describe the novel use of a cutting balloon to "express" these compressive hematomas and restore antegrade coronary blood flow.
Keyphrases
- coronary artery disease
- blood flow
- coronary artery
- physical activity
- percutaneous coronary intervention
- antiplatelet therapy
- coronary artery bypass grafting
- minimally invasive
- acute myocardial infarction
- acute coronary syndrome
- ultrasound guided
- st elevation myocardial infarction
- smoking cessation
- left ventricular