ST-elevation myocardial infarction as a complication of retrograde chronic total occlusion recanalization

Sastry Prayaga; Barry F Uretsky; Rajesh Sachdeva

doi:10.1002/ccd.23266

ST-elevation myocardial infarction as a complication of retrograde chronic total occlusion recanalization

Catheter Cardiovasc Interv. 2012 Oct 1;80(4):611-5. doi: 10.1002/ccd.23266. Epub 2011 Dec 12.

Authors

Sastry Prayaga¹, Barry F Uretsky, Rajesh Sachdeva

Affiliation

¹ Central Arkansas Veterans Healthcare System and University of Arkansas for Medical Sciences, Little Rock, AR, USA.

PMID: 21805592
DOI: 10.1002/ccd.23266

Abstract

With the advent of new tools and techniques including the retrograde approach, success rates for recanalization of chronic total occlusion (CTO) have improved. Numerous cardiac and extracardiac complications during retrograde CTO recanalization have been described. To date the development of ST-segment elevation myocardial infarction (STEMI) with retrograde recanalization as a result of atheroembolization has not been reported. We report such a case following retrograde recanalization of a totally occluded right coronary artery.

Publication types

Case Reports

MeSH terms

Aged
Angioplasty, Balloon, Coronary / adverse effects*
Angioplasty, Balloon, Coronary / instrumentation
Cardiac Catheterization
Chronic Disease
Collateral Circulation
Coronary Angiography
Coronary Occlusion / diagnosis
Coronary Occlusion / physiopathology
Coronary Occlusion / therapy*
Drug-Eluting Stents
Electrocardiography
Embolism, Cholesterol / diagnosis
Embolism, Cholesterol / etiology*
Embolism, Cholesterol / physiopathology
Fractional Flow Reserve, Myocardial
Humans
Male
Myocardial Infarction / diagnosis
Myocardial Infarction / etiology*
Myocardial Infarction / physiopathology