title: Antegrade ballooning with retrograde approach for the treatment of long restenotic total occlusion.
abstract: A retrograde approach through collateral channels is thought to improve the success rate of percutaneous coronary intervention for chronic total coronary occlusion (CTO). Among CTO lesions, the in-stent chronic total reocclusion (ISR-CTO) is a subset with an unsatisfactory outcome despite repeated procedures. Various strategies and techniques are required to improve the success rate of this novel approach. We describe a case in which a long ISR-CTO was successfully recanalized by a drug-eluting balloon after antegrade ballooning of the proximal part of the lesion with retrograde wire crossing, and discuss the availability of this approach for the treatment of long ISR-CTO.
authors: Division of Cardiology, Department of Internal Medicine, SoonChunHyang University Bucheon Hospital, Bucheon, South Korea.
authors: Jon
authors: J
authors: Suh
authors: Yoon Haeng
authors: YH
authors: Cho
authors: Nae-Hee
authors: NH
authors: Lee
mesh_terms: D000800:Angioplasty, Balloon / Q000379:methods*; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D002404:Catheterization; D054059:Coronary Occlusion / Q000209:etiology / Q000628:therapy*; D023903:Coronary Restenosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome