title: Retrograde approach to an ostial left anterior descending chronic total occlusion through a left internal mammary artery graft.
abstract: Retrograde approach to chronic total occlusions (CTO) has been described via saphenous vein grafts, septal and epicardial collaterals. We report for the first time a successful retrograde approach to an ostial left anterior descending (LAD) artery CTO through a failed left internal mammary artery (LIMA) to LAD anastamosis. This case demonstrates the technical aspects of using a LIMA conduit as a retrograde approach to CTO. © 2015 Wiley Periodicals, Inc.
authors.affiliation: Division of Cardiology, New York University Langone Medical Center, New York, New York, USA.
authors.forename: Pawan
authors.initials: P
authors.lastname: Hari
authors.affiliation: Division of Cardiology, Columbia University Medical Center/New York-Presbyterian Hospital, New York, New York, USA.
authors.forename: Ajay J
authors.initials: AJ
authors.lastname: Kirtane
authors.affiliation: Division of Cardiology, New York University Langone Medical Center, New York, New York, USA.
authors.forename: Sripal
authors.initials: S
authors.lastname: Bangalore
mesh_terms: D000368:Aged; D003097:Collateral Circulation; D017023:Coronary Angiography; D003326:Coronary Circulation / Q000502:physiology*; D054059:Coronary Occlusion / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000637:transplantation*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D016896:Treatment Outcome
keywords: angiography; carotid artery disease; complex PCI; coronary; coronary artery disease; coronary bypass grafts; intervention; percutaneous coronary intervention