The importance of the "safety coronary guidewire" in the donor vessel during Chronic total occlusion percutaneous coronary intervention

Salman S Allana; Emmanouil S Brilakis

doi:10.1016/j.carrev.2023.01.006

The importance of the "safety coronary guidewire" in the donor vessel during Chronic total occlusion percutaneous coronary intervention

Cardiovasc Revasc Med. 2023 Aug:53S:S292-S295. doi: 10.1016/j.carrev.2023.01.006. Epub 2023 Jan 11.

Authors

Salman S Allana¹, Emmanouil S Brilakis²

Affiliations

¹ Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
² Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, MN, USA. Electronic address: [email protected].

PMID: 36737384
DOI: 10.1016/j.carrev.2023.01.006

Abstract

Donor vessel injury is a well-known complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Due to significant amount of myocardium at risk, donor vessel injury may lead to rapid hemodynamic collapse. In this setting, prompt restoration of blood flow into the donor artery is of paramount importance. Advancement of a safety coronary workhorse guidewire in the donor vessel prior to attempting CTO PCI is a simple maneuver that provides access to the donor artery for rapid coronary intervention and restoration of blood flow, in the event of donor vessel injury. We describe two cases of CTO PCI that illustrate the value of the safety coronary guidewire.

Keywords: Chronic total occlusion; Coronary dissection; Donor vessel injury; Percutaneous coronary intervention; Safety guidewire.

Publication types

Case Reports

MeSH terms

Chronic Disease
Coronary Angiography
Coronary Occlusion* / diagnostic imaging
Coronary Occlusion* / etiology
Coronary Occlusion* / therapy
Heart
Humans
Percutaneous Coronary Intervention* / adverse effects
Treatment Outcome