Bailout technique to rescue the abruptly occluded side branch with collapsed true lumen after main vessel stenting

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• 作者：Atsushi Funatsu ; Ryo Hirokawa…
• 关键词：Bifurcation lesion ; Side branch ; Percutaneous coronary intervention
• 刊名：Cardiovascular Intervention and Therapeutics
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：32
• 期：1
• 页码：87-91
• 全文大小：1394KB
• 刊物主题：Cardiology; Interventional Radiology;
• 出版者：Springer Japan
• ISSN：1868-4297
• 卷排序：32

文摘

Guidewire recrossing into the abruptly occluded side branch (SB) after main vessel (MV) stenting in the coronary bifurcation is difficult, particularly if the SB has a dissection because the true lumen of SB is collapsed by a hematoma and the second guidewire easily goes into the false lumen. This paper reports a bailout technique to rescue the occluded SB that was complicated by a hematoma because of an unsuccessful guidewire recrossing after MV stenting using a small balloon dilation in the collapsed SB true lumen behind the stent strut and wire penetration.