Manual Microcatheter-tip Modification: A bailout option for difficult "tip-in" technique during chronic total occlusion percutaneous coronary intervention
Language English Country United States Media print-electronic
Document type Journal Article
PubMed
39082783
DOI
10.1002/ccd.31172
Knihovny.cz E-resources
- Keywords
- CTO, bailout, chronic total occlusion, microcatheter, percutaneous coronary intervention, retrograde, tip‐in,
- MeSH
- Angioplasty, Balloon, Coronary instrumentation MeSH
- Chronic Disease MeSH
- Equipment Design * MeSH
- Coronary Angiography * MeSH
- Percutaneous Coronary Intervention instrumentation MeSH
- Coronary Occlusion * diagnostic imaging therapy MeSH
- Middle Aged MeSH
- Humans MeSH
- Miniaturization * MeSH
- Aged MeSH
- Cardiac Catheterization instrumentation MeSH
- Cardiac Catheters * MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
The retrograde approach in chronic total occlusion (CTO) interventions often encounters significant challenges, particularly, when aligning the retrograde microcatheter (MC) with the antegrade system is difficult, complicating or even preventing standard externalization. To address these issues, techniques like the "tip-in" have proven to be effective backup strategies. We introduce the "Manual Microcatheter-tip Modification" (MMM) technique as an alternative when the "tip-in" method faces complications. We present a case of a left anterior descending CTO where MMM was successfully employed for the first time, enabling successful revascularization by manually modifying the MC tip to engage the retrograde guidewire. We explore the technical details within the framework of contemporary CTO PCI. This new technique could enhance the management of CTO interventions, offering innovative solutions when traditional externalization methods are problematic.
Cardiovascular Department Jolimont Hospital La Louvière Belgium
Invasive Cardiology Division Kardiologické Centrum Agel Pardubice Czech Republic
See more in PubMed
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