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
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
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