Antegrade ballooning with retrograde approach for the treatment of long restenotic total occlusion
Suh, J.; Cho, Y.H.; Lee, N.-H.
Journal of Invasive Cardiology 23(7): E164-E167
2011
ISSN/ISBN: 1557-2501 PMID: 21725132 Document Number: 649944
A retrograde approach through collateral channels is thought to improve the success rate of percutaneous coronary intervention for chronic total coronary occlusion (CTO). Among CTO lesions, the in-stent chronic total reocclusion (ISR-CTO) is a subset with an unsatisfactory outcome despite repeated procedures. Various strategies and techniques are required to improve the success rate of this novel approach. We describe a case in which a long ISR-CTO was successfully recanalized by a drug-eluting balloon after antegrade ballooning of the proximal part of the lesion with retrograde wire crossing, and discuss the availability of this approach for the treatment of long ISR-CTO.