title: Bailout technique to rescue the abruptly occluded side branch with collapsed true lumen after main vessel stenting.
abstract: Guidewire recrossing into the abruptly occluded side branch (SB) after main vessel (MV) stenting in the coronary bifurcation is difficult, particularly if the SB has a dissection because the true lumen of SB is collapsed by a hematoma and the second guidewire easily goes into the false lumen. This paper reports a bailout technique to rescue the occluded SB that was complicated by a hematoma because of an unsuccessful guidewire recrossing after MV stenting using a small balloon dilation in the collapsed SB true lumen behind the stent strut and wire penetration.
authors.affiliation: Cardiovascular Center, Kyoto-Katsura Hospital, 17 Yamada-Hirao-cho, Nishikyo-ku, Kyoto, 615-8256, Japan. kcvc.funatsu@katsura.com.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Funatsu
authors.affiliation: Cardiovascular Center, Kyoto-Katsura Hospital, 17 Yamada-Hirao-cho, Nishikyo-ku, Kyoto, 615-8256, Japan.
authors.forename: Ryo
authors.initials: R
authors.lastname: Hirokawa
authors.affiliation: Cardiovascular Center, Kyoto-Katsura Hospital, 17 Yamada-Hirao-cho, Nishikyo-ku, Kyoto, 615-8256, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Nakamura
mesh_terms: D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D054855:Drug-Eluting Stents; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D018084:Ultrasonography, Interventional
keywords: Bifurcation lesion; Percutaneous coronary intervention; Side branch