Successful recanalization of in-stent coronary chronic total occlusion by subintimal tracking
Lee, N.H.; Cho, Y.H.; Seo, H.S.
Journal of Invasive Cardiology 20(4): E129-E132
2008
ISSN/ISBN: 1557-2501 PMID: 18398245 Document Number: 620245
Percutaneous coronary intervention (PCI) of a chronic total occlusion (CTO) caused by in-stent restenosis (ISR) is sometimes very difficult due to the presence of hard occlusive components that prevent wire passage. We report a case of CTO caused by ISR (ISR-CTO) in which the occlusion was crossed with the wire subintimally along the outside of the stent and was successfully re-stented. Subintimal tracking along the outside of the stent can be considered as another approach for PCI of ISR-CTO in cases where conventional approaches fail.
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