Importance of IVUS in the treatment with retrograde approach of a long in-stent chronic total occlusion of ostial right coronary artery: A case report

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• 作者：Giuseppe Talanas^a ; ^{giustal@yahoo.it} ; Roberto Garbo^b
• 关键词：Chronic total occlusion ; In-stent occlusive restenosis ; Retrograde approach ; IVUS
• 刊名：Cardiovascular Revascularization Medicine
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：18
• 期：1
• 页码：58-62
• 全文大小：725 K
• 卷排序：18

文摘

In-stent restenosis leading to coronary chronic total occlusion (ISR-CTO) is an uncommon problem in clinical practice The reported incidence of ISR-CTO ranges from 5% to 10% of all CTO-PCI and the percutaneous treatment of ISR-CTO has a lower procedural success rate than conventional CTO. In this setting the use of intravascular ultrasound is of paramount importance. We describe a case of a 43-year old male patient with a long-in stent CTO of ostial right coronary artery treated with retrograde approach highlighting the importance of IVUS evaluation in the treatment of this patient.