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Retrograde approach to an ostial left anterior descending chronic total occlusion through a left internal mammary artery graft
Author(s) -
Hari Pawan,
Kirtane Ajay J.,
Bangalore Sripal
Publication year - 2016
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.26136
Subject(s) - medicine , anastomosis , artery , mammary artery , cardiology , occlusion , surgery , vein
Retrograde approach to chronic total occlusions (CTO) has been described via saphenous vein grafts, septal and epicardial collaterals. We report for the first time a successful retrograde approach to an ostial left anterior descending (LAD) artery CTO through a failed left internal mammary artery (LIMA) to LAD anastamosis. This case demonstrates the technical aspects of using a LIMA conduit as a retrograde approach to CTO. © 2015 Wiley Periodicals, Inc.