Percutaneous coronary intervention of a circumflex chronic total occlusion using an epicardial collateral retrograde approach.
Antegrade disobliteration of a chronic total coronary occlusion (CTO) may be technically difficult in spite of the use of customized equipment. Retrograde approaches via intramyocardial septal or bypass grafts have been described. We report a successful Percutaneous intervention of a proximal circumflex CTO using a retrograde approach via an epicardial collateral.
Lane
Rebecca E
RE
Harefield Hospital, Middlesex, United Kingdom.
Ilsley
Charles D J
CD
Wallis
William
W
Dalby
Miles C D
MC
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D002908:Chronic Disease; D003097:Collateral Circulation; D017023:Coronary Angiography; D003326:Coronary Circulation; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D018579:Patient Selection; D010496:Pericardium / Q000000981:diagnostic imaging / Q000503:physiopathology*; D015641:Radiography, Interventional; D016896:Treatment Outcome