"Subintimal external crush" technique for a "balloon uncrossable" chronic total occlusion

Document Type

Article

Publication Date

1-1-2017

Publication Title

Cardiovasc Revasc Med

Abstract

Chronic total occlusion (CTO) revascularization is traditionally limited by the challenges related to lesion crossing. In a smaller number of cases, however, inability to advance the balloon catheter to the crossing site can account for recanalization failure ("balloon uncrossable" CTO). We describe a case of a "balloon uncrossable" CTO in which balloon crossing was achieved after subintimal dilation and "external crushing" of the CTO lesion resulting in significant modification of the CTO atheromatous plaque.

Medical Subject Headings

Angioplasty, Balloon, Coronary; Cardiac Catheters; Chronic Disease; Coronary Angiography; Coronary Occlusion; Humans; Male; Middle Aged; Plaque, Atherosclerotic; Treatment Outcome

PubMed ID

27421955

Volume

18

Issue

1

First Page

63

Last Page

65

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