title: Use of the retrograde approach for primary percutaneous coronary intervention of an inferior ST-segment elevation myocardial infarction.
abstract: Percutaneous coronary intervention (PCI) during ST-segment elevation myocardial infarction (STEMI) can be challenging due to limited distal vessel visualization. We present a case of challenging antegrade wiring during PCI of an inferior STEMI resulting in inadvertent subintimal wiring and ballooning. Recognition of this scenario prior to stenting allowed vessel rescue using the retrograde chronic total occlusion revascularization technique.
authors.affiliation: VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Vishal G
authors.initials: VG
authors.lastname: Patel
authors.forename: Ahmad
authors.initials: A
authors.lastname: Zankar
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Brilakis
mesh_terms: D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome