title: "Spiral stenting"-creating a subintimal neo-luminal helix around a massively calcified ostial chronic total occlusion of the right coronary artery in a patient with recurrent ventricular tachycardia.
abstract: This case report describes a successful percutaneous coronary intervention (PCI) of a severely calcified aorto-ostial chronic total occlusion (CTO) of the right coronary artery (RCA). The lesion was treated by a retrograde approach implementing long spiral subintimal wire tracking and final coronary stenting creating a subintimal neo-luminal helix around the natively occluded RCA. After 6 months of follow-up valuable angiographic results were proven.
authors.affiliation: Division of Cardiology and Angiology II, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Germany.
authors.forename: Kambis
authors.initials: K
authors.lastname: Mashayekhi
authors.affiliation: Department of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
authors.forename: Zivile
authors.initials: Z
authors.lastname: Valuckiene
authors.affiliation: Internal Medicine Clinic II, Helios Vogtland Klinikum Plauen, Plauen, Germany.
authors.forename: Hans
authors.initials: H
authors.lastname: Neuser
authors.affiliation: Institute of Interventional Cardiology, Landeskrankenhaus Feldkirch, Academic Teaching Hospital of Medical University of Innsbruck, Innsbruck, Austria.
authors.forename: Marlon
authors.initials: M
authors.lastname: Walter
authors.affiliation: Institute of Interventional Cardiology, Landeskrankenhaus Feldkirch, Academic Teaching Hospital of Medical University of Innsbruck, Innsbruck, Austria.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Gappmaier
authors.affiliation: Internal Medicine Clinic II, Helios Vogtland Klinikum Plauen, Plauen, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kaiser
authors.affiliation: Division of Cardiology and Angiology II, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Germany.
authors.forename: Franz-Josef
authors.initials: FJ
authors.lastname: Neumann
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim (UMM), Faculty of Medicine Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Akin
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim (UMM), Faculty of Medicine Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Behnes
keywords: Chronic total occlusion (CTO); last option; percutaneous coronary intervention (PCI); subintimal