"Subintimal external crush" technique for a "balloon uncrossable" chronic total occlusion.
Christopoulos G, Kotsia AP, Rangan BV, Vo M, Alaswad K, Karmpaliotis D, Banerjee S, Brilakis ES. "Subintimal external crush" technique for a "balloon uncrossable" chronic total occlusion. Cardiovasc Revasc Med. 2017 Jan - Feb;18(1):63-65.
Cardiovasc Revasc Med
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