The "double stingray technique" for recanalizing chronic total occlusions with bifurcation at the distal cap. Issue 6 (23rd January 2018)

• Record Type: Journal Article
• Authors: Tajti, Peter; Doshi, Darshan; Karmpaliotis, Dimitri; Brilakis, Emmanouil S.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 91:Issue 6(2018)
• Page Start: 1079
• Page End: 1083
• Publication Date: 2018-01-23
• Subjects: CAD ‐ coronary artery disease -- complex PCI -- CTO -- CTO‐percutaneous coronary intervention; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.27505
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Antegrade dissection re‐entry is often discouraged for chronic total occlusions (CTOs) with a bifurcation at the distal cap due to risk of side branch occlusion that can lead to periprocedural myocardial infarction and incomplete revascularization. Antegrade dissection re‐entry, however, is often needed, especially in complex cases. We present the novel "double Stingray technique" for CTOs involving bifurcations, in which the Stingray system is used twice for re‐entry into both vessel branches, followed by two‐stent bifurcation stenting to maintain the patency of both branches.