Subintimal wire position during angioplasty of a chronic total coronary occlusion: detection and subsequent procedural guidance by intravascular ultrasound.
We report a case of intravascular ultrasound (IVUS) imaging of a chronic total coronary artery occlusion angioplasty initially complicated by subintimal wire penetration. IVUS provided unique images of wire position and a "double-barrel" lumen that complemented angiographic data in initial diagnosis and in subsequent guidance of the procedure.
Kimura
B J
BJ
University of California, San Diego, VA Medical Center, Department of Cardiology 92161, USA.
Tsimikas
S
S
Bhargava
V
V
DeMaria
A N
AN
Penny
W F
WF
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D003251:Constriction, Pathologic / Q000628:therapy; D003327:Coronary Disease / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008297:Male; D017539:Tunica Intima / Q000293:injuries*; D018084:Ultrasonography, Interventional