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Use of chronic total occlusion percutaneous coronary intervention techniques for treating acute vessel closure
Author(s) -
Shaukat Arslan,
Mooney Michael,
Burke M. Nicholas,
Brilakis Emmanouil S.
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.27868
Subject(s) - medicine , percutaneous , lumen (anatomy) , percutaneous coronary intervention , dissection (medical) , occlusion , surgery , complication , coronary occlusion , radiology , cardiology , myocardial infarction
Acute vessel closure due to dissection is a known complication of percutaneous coronary intervention and can be challenging to treat, especially if guidewire position is lost. Re‐entering into the distal true lumen is commonly done during chronic total occlusion interventions, as part of antegrade dissection strategies. We report two cases of acute vessel closure and guidewire position loss in which the Stingray LP system was successfully used to advance a guidewire into the distal true lumen and recanalize the occluded vessel.