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Total aorto‐ostial chronic occlusion of the right coronary artery successfully recanalized via retrograde approach
Author(s) -
Londoño Juan C.,
Singh Vikas,
O'Neill William W.
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22918
Subject(s) - medicine , ostium , percutaneous coronary intervention , revascularization , percutaneous , right coronary artery , cardiology , surgery , occlusion , radiology , coronary angiography , myocardial infarction
Chronic total occlusions remain a technical challenge for interventional cardiologists. This group of lesions carries a decreased rate of success and continues to be an important reason for surgical revascularization. Recently, retrograde percutaneous coronary intervention of total occlusions via epicardial and septal perforators was introduced as an alternative approach when a previous antegrade attempt has failed. We describe a unique case where retrograde approach was used as the initial recanalization technique in the absence of a right coronary ostium.© 2010 Wiley‐Liss, Inc.