Combined antegrade and retrograde dissection and re-entry techniques: A two-in-one chronic total occlusion procedure

Randal Jun Bang Low; Maciej Marciniak; Thomas Kaier; Antonis Pavlidis

doi:10.1002/ccd.31265

Combined antegrade and retrograde dissection and re-entry techniques: A two-in-one chronic total occlusion procedure

Catheter Cardiovasc Interv. 2024 Nov;104(6):1211-1216. doi: 10.1002/ccd.31265. Epub 2024 Oct 16.

Authors

Randal Jun Bang Low^{1

2}, Maciej Marciniak¹, Thomas Kaier¹, Antonis Pavlidis¹

Affiliations

¹ St Thomas' Hospital, Guy's and St Thomas' National Health Service Foundation Trust, London, UK.
² Woodlands Health, National Healthcare Group, Singapore.

PMID: 39413253
DOI: 10.1002/ccd.31265

Abstract

Treatment of chronic total occlusions (CTOs) by percutaneous coronary intervention (PCI) is technically challenging, with exponential difficulty in the presence of specific anatomical features. We present a complex case where procedural success was achieved by sequential PCIs to two separate CTOs in a 'two-in-one' procedure.

Keywords: antegrade dissection and re‐entry; balloon‐assisted subintimal entry; carlino; chronic total occlusion; percutaneous coronary intervention; reverse controlled antegrade and retrograde tracking.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aged
Angioplasty, Balloon, Coronary / instrumentation
Chronic Disease
Coronary Angiography
Coronary Occlusion* / diagnostic imaging
Coronary Occlusion* / physiopathology
Coronary Occlusion* / surgery
Coronary Occlusion* / therapy
Drug-Eluting Stents
Humans
Male
Middle Aged
Percutaneous Coronary Intervention* / instrumentation
Treatment Outcome