Top

Cardiovascular Intervention and Therapeutics

Published in:

01-01-2011 | Original Article

A novel intravascular ultrasound-guided percutaneous coronary angioplasty technique via the retrograde approach for chronic total occlusion

Authors: Toshiya Muramatsu, Reiko Tsukahara, Yoshiaki Ito

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2011

Abstract

The retrograde approach via native channels, mainly septal collaterals, has now become routine. However even after retrograde advancement of a catheter through a collateral channel, it is sometimes difficult to guide the catheter from a false lumen into the true lumen. We experienced 3 patients in whom the site for retrograde guidewire re-entry site from the chronic total occlusion was unclear, and intravascular ultrasound (IVUS) was useful for identifying the re-entry site. Here we report on this new technique, in which IVUS guides the retrograde guidewire to its re-entry site.

Muramatsu T, Hirano K, Tsukahara R, et al. Long-term outcome of percutaneous transluminal coronary intervention for chronic total occlusion in the BMS era in Japanese. Cardiovasc Interv Ther. 2010;25:78–84.

Kahn JK, Hartzler GO. Retrograde coronary angioplasty of isolated arterial segments through saphenous vein bypass grafts. Catheter Cardiovasc Diagn. 1990;20:88–93.CrossRef

Silvestri M, Parikh P, Roquebert PO, et al. Retrograde left main stenting. Catheter Cardiovasc Diagn. 1996;39:396–9.CrossRef

Roy PR, Steinberg DH, Sushinsky SJ, et al. The potential clinical utility of intravascular ultrasound guidance in patients undergoing percutaneous coronary intervention with drug-eluting stents. Eur Heart J. 2008;29:1851–7.CrossRefPubMed

Di Mario C, Barlis P, Tanigawa J, et al. Retrograde approach to coronary chronic total occlusions: preliminary single European centre experience. Euro Interv. 2007;3:181–7.

Saito S. Different strategies of retrograde approach in coronary angioplasty for chronic total occlusion. Catheter Cardiovasc Interv. 2008;71:8–19.CrossRefPubMed

Rathore S, Katoh O, Matuso H, et al. Retrograde percutaneous recanalization of chronic total occlusion of the coronary arteries. Circ Cardiovasc Interv. 2009;2:124–32.CrossRefPubMed

Sianos G, Barlis P, Mario CD, et al. European experience with the retrograde approach for the recanalization of coronary artery chronic total occlusions. A report on behalf of the Euro CTO Club. Eur Interv. 2008;4:84–92.

Surmely F, Tsuchikane E, Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique. J Invasive Cardiol. 2006;18:334–8.PubMed

10.

Schrale RG, Channon KM, Ormerod OJ. IVUS-guided evaluation and percutaneous intervention in an anomalous left main coronary artery. J Invasive Cardiol. 2007;19:E195–8.PubMed

11.

Ito S, Suzuki T, Ito T, et al. Novel technique using intravascular ultrasound-guided guidewire cross in coronary intervention for uncrossable chronic total occlusions. Circ J. 2004;68:1088–92.CrossRefPubMed

Title: A novel intravascular ultrasound-guided percutaneous coronary angioplasty technique via the retrograde approach for chronic total occlusion
Authors: Toshiya Muramatsu
Reiko Tsukahara
Yoshiaki Ito
Publication date: 01-01-2011
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 1/2011
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-010-0033-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A novel intravascular ultrasound-guided percutaneous coronary angioplasty technique via the retrograde approach for chronic total occlusion

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2011

Incidence of side-effects of dual antiplatelet therapy with clopidogrel and aspirin after coronary stent implantation

Effect of cilostazol on optimized standard antiplatelet therapy in a patient with a cytochrome P450 2C19 *2/*2 genotype

Initial clinical experience with distal embolic protection using “Filtrap”, a novel filter device with a self-expandable spiral basket in patients undergoing percutaneous coronary intervention

Dramatic improvement of rapidly progressing acute renal failure and severe hypertension after bilateral renal artery stenting

Intravascular ultrasound-guided percutaneous coronary interventions with minimum contrast volume for prevention of the radiocontrast-induced nephropathy: report of two cases

Removal of broken balloon mitral valvotomy coiled guidewire from giant left atrium using indigenous snare

Effect of cilostazol on optimized standard antiplatelet therapy in a patient with a cytochrome P450 2C19 2/2 genotype