Open AccessThe retrograde technique for recanalization of chronically occluded coronary arteries: Case series report
Author(s) -
Stefan Juričić,
Milorad Tešić,
Milan Dobrić,
S Aleksandric,
Z Mehmedbegovic,
Goran Stanković,
Dejan Orlić,
Branko Beleslin,
Siniša Stojković
Publication year - 2022
Publication title -
vojnosanitetski pregled
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.123
H-Index - 19
eISSN - 2406-0720
pISSN - 0042-8450
DOI - 10.2298/vsp200606124j
Subject(s) - medicine , conventional pci , intravascular ultrasound , percutaneous coronary intervention , percutaneous , radiology , atherectomy , interventional cardiology , artery , cardiology , coronary arteries , catheter , surgery , myocardial infarction , restenosis , stent
Background. Chronic total occlusion (CTO) of coronary artery still represents one of the most challenging lesion subset in field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Methods. We present a series of cases dedicated to the retrograde approach as a special technique for the treatment of chronic total coronary artery occlusion. All cases have some special characteristics that are today part of a dedicated portfolio in every cath lab. Results. In our series of cases all of three percutaneous coronary interventions (PCI) with retrograde approach finished with successful recanalization of CTO with different strategy and supported with rotational atherectomy (RA) or intravascular ultrasound (IVUS). Conclusion. In cases where there is the presence of interventional collaterals, as well as when the anterograde approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to perform the procedure independently.