Successful revascularization of a long chronic total occlusion with blunt microdissection complicated by coronary artery dissection.
We report a case of successful percutaneous revascularization of a chronic total occlusion using the LuMend Frontrunner catheter. The case was complicated by a long coronary artery dissection, with inability to access the true lumen. With favorable healing at 7 weeks, the true lumen was accessible which led to procedural success.
Lorin
Jeffrey D
JD
Division of Cardiology, Department of Veterans Affairs, New York Harbor Healthcare System, New York, NY, USA. jeffrey.lorin@med.va.gov.
Boglioli
Jason R
JR
Sedlis
Steven P
SP
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D002908:Chronic Disease; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003326:Coronary Circulation / Q000502:physiology; D023903:Coronary Restenosis / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D042282:Microdissection; D009204:Myocardial Revascularization / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology