open access

Vol 13, No 4 (2018)
Case Reports
Published online: 2018-09-12
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Successful percutaneous coronary intervention in aorto-ostial lesions with chronic total occlusion of right coronary artery using Szabo technique

Santosh Kumar Sinha, Vikas Mishra, Mukesh Jitendra Jha, Mahmadula Razi, Anupam Mahrotra, Nasar Abdali, Vikash Chaturvedi, Lokendra Rekwal, Anupam Kumar Singh
DOI: 10.5603/FC.2018.0073
·
Folia Cardiologica 2018;13(4):342-346.

open access

Vol 13, No 4 (2018)
Case Reports
Published online: 2018-09-12

Abstract

Percutaneous coronary intervention (PCI) in aorto-ostial lesions with chronic total occlusion is one of the most challenging scenarios, because geographic miss may lead to a higher rate of immediate and late adverse events when comparing with non-ostial lesions. Here we report a case, where aorto-ostial chronic total occlusion of right coronary artery in a 39-year-old male was successfully recanalised and perfectly stented using the Szabo technique.

Abstract

Percutaneous coronary intervention (PCI) in aorto-ostial lesions with chronic total occlusion is one of the most challenging scenarios, because geographic miss may lead to a higher rate of immediate and late adverse events when comparing with non-ostial lesions. Here we report a case, where aorto-ostial chronic total occlusion of right coronary artery in a 39-year-old male was successfully recanalised and perfectly stented using the Szabo technique.

Get Citation

Keywords

aorto-ostial lesion, chronic total occlusion, percutaneous coronary intervention, Szabo technique

About this article
Title

Successful percutaneous coronary intervention in aorto-ostial lesions with chronic total occlusion of right coronary artery using Szabo technique

Journal

Folia Cardiologica

Issue

Vol 13, No 4 (2018)

Pages

342-346

Published online

2018-09-12

DOI

10.5603/FC.2018.0073

Bibliographic record

Folia Cardiologica 2018;13(4):342-346.

Keywords

aorto-ostial lesion
chronic total occlusion
percutaneous coronary intervention
Szabo technique

Authors

Santosh Kumar Sinha
Vikas Mishra
Mukesh Jitendra Jha
Mahmadula Razi
Anupam Mahrotra
Nasar Abdali
Vikash Chaturvedi
Lokendra Rekwal
Anupam Kumar Singh

References (6)
  1. Jokhi P, Curzen N. Percutaneous coronary intervention of ostial lesions. EuroIntervention. 2009; 5(4): 511–514.
  2. Dishmon DA, Elhaddi A, Packard K, et al. High incidence of inaccurate stent placement in the treatment of coronary aorto-ostial disease. J Invasive Cardiol. 2011; 23(8): 322–326.
  3. Szabo S, Abramowitz B, Vaitkus PT. New technique for aorto-ostial stent placement. Am J Cardiol. 2005; 96: 212H.
  4. Freeman M, Clark DJ, Andrianopoulos N, et al. Melbourne Interventional Group. Outcomes after percutaneous coronary intervention of ostial lesions in the era of drug-eluting stents. Catheter Cardiovasc Interv. 2009; 73(6): 763–768.
  5. Vaquerizo B, Serra A, Ormiston J, et al. Bench top evaluation and clinical experience with the Szabo technique: new questions for a complex lesion. Catheter Cardiovasc Interv. 2012; 79(3): 378–389.
  6. Gutiérrez-Chico JL, Villanueva-Benito I, Villanueva-Montoto L, et al. Szabo technique versus conventional angiographic placement in bifurcations 010-001 of Medina and in aorto-ostial stenting: angiographic and procedural results. EuroIntervention. 2010; 5(7): 801–808.

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