The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter

Joint Authors

Nakabayashi, Keisuke
Sunaga, Daisuke
Kaneko, Nobuhito
Matsui, Akihiro
Tanaka, Kazuhiko
Ando, Hiroshi
Shimizu, Minoru

Source

Case Reports in Cardiology

Issue

Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2018-10-30

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Diseases

Abstract EN

A bidirectional approach for percutaneous coronary intervention for chronic total occlusion (CTO-PCI) using ipsilateral collaterals with a single guiding catheter limits procedural choices.

The CTO of the left circumflex artery with ipsilateral collateral artery was treated by the bidirectional approach using a single guiding catheter.

While the retrograde wire directly crossed the CTO lesion, the microcatheter could not pass the CTO lesion despite the conventional strategies.

Therefore, we performed the wire rendezvous and chasing wire techniques.

The wire rendezvous technique enables deeper retrograde guidewire progression, and the antegrade microcatheter can reach the CTO entry.

The chasing wire technique enables the antegrade guidewire to pass the route made by the retrograde guidewire.

These techniques might offer a possible solution for bidirectional CTO-PCI using a single guiding catheter.

However, this technique should be considered as a last resort because of the risk of rapid reocclusion.

American Psychological Association (APA)

Nakabayashi, Keisuke& Sunaga, Daisuke& Kaneko, Nobuhito& Matsui, Akihiro& Tanaka, Kazuhiko& Ando, Hiroshi…[et al.]. 2018. The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1141272

Modern Language Association (MLA)

Nakabayashi, Keisuke…[et al.]. The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter. Case Reports in Cardiology No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1141272

American Medical Association (AMA)

Nakabayashi, Keisuke& Sunaga, Daisuke& Kaneko, Nobuhito& Matsui, Akihiro& Tanaka, Kazuhiko& Ando, Hiroshi…[et al.]. The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1141272

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1141272