Tip detection-antegrade dissection and reentry using intravascular ultrasound in chronic total occlusion intervention: first human case report.

ABSTRACT:

Background

It has been considered impossible to perform antegrade dissection and reentry (ADR) by simply puncturing with a guidewire using the intravascular ultrasound (IVUS) observation without the support of the Stingray system.

Case summary

A 78-year-old man suffered from effort angina pectoris due to a chronic total occlusion (CTO) lesion in the left circumflex coronary artery. A retry percutaneous coronary intervention for the CTO lesion was attempted at our hospital. The J-CTO score was 3. The first guidewire entered the subintimal space. We moved onto Stingray-ADR using the angiographic observation, but the guidewire could not be led into the true lumen. AnteOwl WR-IVUS (AO-IVUS) observation revealed a distal true lumen in which the inner lumen was maintained 5 mm bey

SUBMITTER: Suzuki S 

PROVIDER: S-EPMC9214776 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature