Intravascular lithotripsy assisted chronic total occlusion revascularization with reverse controlled antegrade retrograde tracking. Issue 7 (6th March 2019)

• Record Type: Journal Article
• Authors: Yeoh, Julian; Hill, Jonathan; Spratt, James C.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 93:Issue 7(2019)
• Page Start: 1295
• Page End: 1297
• Publication Date: 2019-03-06
• Subjects: chronic total occlusion -- coronary artery disease -- intravascular ultrasound imaging -- percutaneous coronary intervention -- stenting technique; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.28165
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Advances in percutaneous coronary intervention (PCI) techniques in chronic total occlusion (CTO) procedures have improved the success of this procedure. CTO PCI via the retrograde approach are facilitated most frequently by reverse controlled antegrade/retrograde tracking (R‐CART). This aims to create a communication between the proximal and distal lumens, which may be achieved between intimal and subintimal spaces. In patients with calcified coronary vessels, creating sufficient disruptions to connect these spaces can be challenging. Intravascular lithotripsy (IVL) has become a useful tool to modify intracoronary calcification for stent deployment and expansion. This case demonstrates the utility of IVL in facilitating connection in R‐CART to complete the CTO PCI where heavy calcification was present at the site of chronic occlusion.