Successful recanalization of in-stent coronary chronic total occlusion by subintimal tracking.
Percutaneous coronary intervention (PCI) of a chronic total occlusion (CTO) caused by in-stent restenosis (ISR) is sometimes very difficult due to the presence of hard occlusive components that prevent wire passage. We report a case of CTO caused by ISR (ISR-CTO) in which the occlusion was crossed with the wire subintimally along the outside of the stent and was successfully re-stented. Subintimal tracking along the outside of the stent can be considered as another approach for PCI of ISR-CTO in cases where conventional approaches fail.
Lee
Nae Hee
NH
Department of Cardiology, Soon Chun Hyang University Bucheon Hospital, 1174 Jung-Dong, Wonmi-Gu, Bucheon 420-767, Korea. naeheelee@paran.com
Cho
Yoon Haeng
YH
Seo
Hye Sun
HS
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D002908:Chronic Disease; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D017539:Tunica Intima / Q000601:surgery*; D018084:Ultrasonography, Interventional