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Retrograde fractional flow reserve and recanalization of a chronic total occlusion of a saphenous venous graft
Author(s) -
Singla Sandeep,
Uretsky Barry F.,
Sachdeva Rajesh
Publication year - 2012
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.23398
Subject(s) - medicine , fractional flow reserve , saphenous vein graft , cardiology , percutaneous , occlusion , right coronary artery , artery , percutaneous coronary intervention , radiology , surgery , myocardial infarction , coronary angiography
Chronic total occlusion (CTO) of the coronary artery represents a difficult group of lesions for percutaneous interventions. Conventionally, antegrade approach has been used to open these lesions, but recent literature provides evidence for the utility of retrograde approach in cases where initial antegrade approach is either not feasible or fails to recanalize the target vessel. This report illustrates retrograde CTO recanalization of saphenous vein graft (SVG) with fractional flow reserve utilization to determine ischemia in the territory of occluded SVG. © 2012 Wiley Periodicals, Inc.