open access

Vol 67, No 4 (2009)
Other
Published online: 2009-04-21
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Case reports
Successful recanalisation of chronic total occlusion using retrograde approach

Dominika Dykla, Danuta Sorysz, Tomasz Rakowski, Waldemar Mielecki, Roman Wojdyła, Jacek Dubiel, Dariusz Dudek
Kardiol Pol 2009;67(4):406-409.

open access

Vol 67, No 4 (2009)
Other
Published online: 2009-04-21

Abstract

Chronic total occlusion (CTO) is defined as an occlusion of a coronary vessels (TIMI 0 flow) lasting longer than 3 months. Successful recanalisation of CTO improves left ventricular function and survival. Retrograde technique can be used in patients, who have well-developed collaterals, when the antegrade approach is ineffective or difficult to perform. A 68-year-old male was referred for coronary angiography because of exercise angina chest pain. Coronary angiogram showed a CTO of RCA with collaterals from LAD. Following the unsuccessful traditional antegrade approach in 2004, we attempted a retrograde approach. The PCI procedure was performed successfully and without complications.

Abstract

Chronic total occlusion (CTO) is defined as an occlusion of a coronary vessels (TIMI 0 flow) lasting longer than 3 months. Successful recanalisation of CTO improves left ventricular function and survival. Retrograde technique can be used in patients, who have well-developed collaterals, when the antegrade approach is ineffective or difficult to perform. A 68-year-old male was referred for coronary angiography because of exercise angina chest pain. Coronary angiogram showed a CTO of RCA with collaterals from LAD. Following the unsuccessful traditional antegrade approach in 2004, we attempted a retrograde approach. The PCI procedure was performed successfully and without complications.
Get Citation

Keywords

chronic total occlusion; retrograde approach; collaterals

About this article
Title

Case reports
Successful recanalisation of chronic total occlusion using retrograde approach

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 4 (2009)

Pages

406-409

Published online

2009-04-21

Bibliographic record

Kardiol Pol 2009;67(4):406-409.

Keywords

chronic total occlusion
retrograde approach
collaterals

Authors

Dominika Dykla
Danuta Sorysz
Tomasz Rakowski
Waldemar Mielecki
Roman Wojdyła
Jacek Dubiel
Dariusz Dudek

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