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Novel use of cutting balloon to treat subintimal hematomas during chronic total occlusion interventions
Author(s) -
Vo Minh N.,
Brilakis Emmanouil S.,
Grantham J. Aaron
Publication year - 2018
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.27184
Subject(s) - medicine , cutting balloon , balloon , conventional pci , angioplasty , hematoma , radiology , percutaneous , occlusion , coronary occlusion , percutaneous coronary intervention , surgery , reentry , dissection (medical) , stent , cardiology , myocardial infarction , restenosis
Contemporary chronic total occlusion (CTO) percutaneous coronary interventional (PCI) techniques are increasingly dependent upon dissection and reentry techniques (DARTs) especially for long occluded lesions. DARTs can result in compressive hematomas during CTO interventions and traditional treatment with balloon angioplasty and/or coronary stenting are often suboptimal and may extend the hematoma distally. We describe the novel use of a cutting balloon to “express” these compressive hematomas and restore antegrade coronary blood flow.