[Successful recanalisation of chronic total occlusion using retrograde approach].
Chronic total occlusion (CTO) is defined as an occlusion of a coronary vessels (TIMI 0 flow) lasting longer than 3 months. Successful recanalisation of CTO improves left ventricular function and survival. Retrograde technique can be used in patients, who have well-developed collaterals, when the antegrade approach is ineffective or difficult to perform. A 68-year-old male was referred for coronary angiography because of exercise angina chest pain. Coronary angiogram showed a CTO of RCA with collaterals from LAD. Following the unsuccessful traditional antegrade approach in 2004, we attempted a retrograde approach. The PCI procedure was performed successfully and without complications.
Dykla
Dominika
D
II Klinika Kardiologii, Instytut Kardiologii, Uniwersytet Jagielloński Collegium Medicum, Kraków. ddykla@gmail.com
Sorysz
Danuta
D
Rakowski
Tomasz
T
Mielecki
Waldemar
W
Wojdyła
Roman
R
Dubiel
Jacek
J
Dudek
Dariusz
D
D000368:Aged; D017225:Atherectomy, Coronary / Q000379:methods*; D002908:Chronic Disease; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D012086:Reoperation