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 Retrograde endovascular revascularization for chronic total occlusion of the internal carotid artery: a case report

2021 ◽  
Author(s):  
Takeshi Uno ◽  
Masaaki Shojima ◽  
Yuta Oyama ◽  
Fumitaka Yamane ◽  
Akira Matsuno
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Chronic Total Occlusion ◽  
Internal Carotid ◽  
Percutaneous Coronary Interventions ◽  
Transient Ischemic Attacks ◽  
Retrograde Approach ◽  
Total Occlusion ◽  
Endovascular Revascularization ◽  
Percutaneous Coronary

AbstractEndovascular revascularization of a chronically occluded internal carotid artery (ICA) is challenging because the occlusive segment can be long and tortuous. A case is presented of a successful recanalization of a chronically occluded ICA by retrograde passing of a guidewire from the intracranial ICA to the cervical ICA via the posterior communicating artery. This case suggests that a retrograde approach for reopening an occluded artery may be useful during neurovascular interventions, similar to percutaneous coronary interventions. In this patient, daily transient ischemic attacks disappeared after successful recanalization of the ICA.

Sign in / Sign up

Export Citation Format

Share Document