The Beck Procedure Revisited: Percutaneous Approach to Myocardial Perfusion Through the Coronary Sinus
Recommended Citation
Alaswad K, O'Neill WO, Nakhle A, Koenig GC, Fuller BS, Wang DD. The Beck Procedure Revisited: Percutaneous Approach to Myocardial Perfusion Through the Coronary Sinus. JACC Case Rep. 2025 May 7;30(9):103233.
Document Type
Article
Publication Date
5-7-2025
Publication Title
JACC Case Rep
Abstract
BACKGROUND: Many patients live with angina following treatment when all available therapies have failed. Providing retrograde arterial myocardial perfusion using the coronary venous system was performed. The first previously reported percutaneous method might have limited application.
EARLY REPORT SUMMARY: We present a first-in-human successful, reproducible, and widely applicable percutaneous procedure using a noncovered coronary stent to connect the left circumflex (LCX) to the coronary sinus (CS) in a patient with previous placement of a CS Reducer.
DISCUSSION AND NOVELTY: Unlike the previous report, our procedure shows for the first time that placement of a noncovered stent between the proximal LCX and the CS did not result in bleeding while effectively relieving the angina. Using a noncovered stent to create a bypass to the CS makes the procedure applicable to more patients with lifestyle-limiting angina.
TAKE-HOME MESSAGE: Using the noncovered stent from the LCX to the CS to provide myocardial perfusion might be feasible and safe.
PubMed ID
40345743
Volume
30
Issue
9
First Page
103233
Last Page
103233
