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Drug‐coated balloon after subintimal plaque modification in failed coronary chronic total occlusion percutaneous coronary intervention: A novel concept
Author(s) -
Ybarra Luiz F.,
Dandona Sonny,
Daneault Benoit,
Rinfret Stéphane
Publication year - 2020
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.28663
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , angioplasty , balloon , balloon dilation , dilation (metric space) , coronary occlusion , cardiology , cutting balloon , occlusion , surgery , radiology , stent , restenosis , myocardial infarction , geometry , mathematics
Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is a technically challenging procedure. In failed cases, plaque modification strategy (also known as “investment procedure”), defined as the intentional dilation of the subintimal space through the CTO segment, can be applied. The typical dilation device used in this strategy is a regular angioplasty balloon (either semi‐ or noncompliant). Performing this technique with a drug‐coated balloon (DCB) may facilitate a staged procedure by promoting a better vessel healing. Herein, we present three cases of failed CTO PCI, managed with DCB plaque modification, and their follow‐up staged procedure.