scholarly journals A Very Rare Complication of Chronic Total Occlusion (CTO) Intervention: Tip of Corsair Micro-Catheter Punctured By Guide-Wire

2014 ◽  
Vol 17 (2) ◽  
pp. 140-142
Author(s):  
Müslüm Şahin ◽  
Serdar Demir ◽  
Mehmet Vefik Yazıcıoğlu ◽  
Mehmet Muhsin Türkmen
Keyword(s):  
Chronic Total Occlusion ◽  
Guide Wire ◽  
Rare Complication ◽  
Total Occlusion ◽  
Micro Catheter

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.

scholarly journals The innovation of composite core dual coil coronary guide-wire technology: A didactic coronary chronic total occlusion revascularization case report

2014 ◽  
Vol 26 (4) ◽  
pp. 222-225 ◽  
Author(s):  
Salvatore Davide Tomasello ◽  
Pietro Giudice ◽  
Tiziana Attisano ◽  
Marouane Boukhris ◽  
Alfredo R. Galassi
Keyword(s):  
Case Report ◽  
Chronic Total Occlusion ◽  
Guide Wire ◽  
Total Occlusion

scholarly journals Interventricular septal hematoma: A rare complication of retrograde chronic total occlusion intervention

Heart Views ◽  
2021 ◽  
Vol 22 (3) ◽  
pp. 201
Author(s):  
Fahad Alkindi ◽  
MohamedSalah Abdelghani ◽  
Ammar Chapra ◽  
Hossam Abed ◽  
Awad Al-Qahtani
Keyword(s):  
Chronic Total Occlusion ◽  
Rare Complication ◽  
Total Occlusion

scholarly journals Endovascular treatment of chronic total occlusion of superficial femoral artery using retrograde approach from popliteal artery

2021 ◽  
pp. 29-32
Author(s):  
Viet Lam Nguyen ◽  
Anh Khoa Phan ◽  
Ngoc Son Nguyen ◽  
Anh Binh Ho
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Popliteal Artery ◽  
Chronic Total Occlusion ◽  
Guide Wire ◽  
Retrograde Approach ◽  
Transfemoral Approach ◽  
Total Occlusion ◽  
Collateral Channel

An 55 years-old man with intermittent claudication was admitted to Hue central Hospital. Doppler ultrasound and digital subtraction angiography showed his left superficial femoral artery (SFA) was chronic total occlusion (CTO), and we performed endovascular treatment (EVT). We advanced a guide-wire by contralateral transfemoral approach, but guide-wire could not penetrate the occluded SFA lesion antegradely. Thus, we tried to approach the CTO lesion retrogradely. A guide-wire passed from popliteal artery to distal SFA. With a reverse-controlled antegrade and retrograde approach technique, we were able to pass the CTO lesion. Finally, two stents were implanted. We experienced a case in which retrograde approach via collateral channel from popliteal artery was effective to CTO of SFA.

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