Successful treatment by recross IVUS-guided reentry in coronary total occlusion: STRIVE-CTO.


Journal

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139

Informations de publication

Date de publication:
01 2024
Historique:
revised: 14 10 2023
received: 30 07 2023
accepted: 22 10 2023
medline: 4 1 2024
pubmed: 17 11 2023
entrez: 16 11 2023
Statut: ppublish

Résumé

Complex coronary total occlusion (CTO) lesions percutaneous treatment, especially in contexts where traditional antegrade strategies have failed and retrograde approaches are unsuitable, due to lack of interventional collaterals or high risk of complications, presents a considerable challenge for interventional cardiologists. Antegrade dissection reentry has historically offered a bailout strategy in cases with unsuccessful antegrade wire escalation. Nevertheless, the technique-whether employing dual-lumen microcatheters or dedicated reentry devices, such as Stingray-encounters several limitations, particularly when the delivery of the system is not possible, or extraplaque large hematomas, which complicates reentry. This paper introduces an innovative technique combining the use of the Recross MC Dual Microcatheter with real-time intravascular ultrasound guidance for refined re-wiring in CTO interventions. This approach facilitates accurate reentry zone selection and ensures precise, controlled puncturing into the true lumen, thereby enabling safe and predictable CTO recanalization.

Identifiants

pubmed: 37971155
doi: 10.1002/ccd.30904
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

68-79

Informations de copyright

© 2023 Wiley Periodicals LLC.

Références

Simsek B, Kostantinis S, Karacsonyi J, Brilakis ES. Scores for chronic total occlusion percutaneous coronary intervention: a window to the future? J Am Heart Assoc. 2022;11(10):10-14.
Creaney C, Walsh SJ. Antegrade chronic total occlusion strategies: a technical focus for 2020. Interv Cardiol Rev Res Resour. 2020;15:e08.
Galassi AR, Werner GS, Boukhris M, et al. Percutaneous recanalisation of chronic total occlusions: 2019 consensus document from the EuroCTO club. EuroIntervention. 2019;15(2):198-208.
Megaly M, Sedhom R, Zordok M, et al. Complications and failure modes of stingray LP balloon: insights from the MAUDE database. Cardiovasc Revasc Med. 2022;35:187-188. doi:10.1016/j.carrev.2021.03.007
Huang WC, Teng HI, Hsueh CH, Lin SJ, Chan WL, Lu TM. Intravascular ultrasound guided wiring re-entry technique for complex chronic total occlusions. J Interv Cardiol. 2018;31(5):572-579.
Garbo R, Iannaccone M, Sanz Sánchez J, Oreglia JA., Gagnor A, Gasparini LG. The ReCross dual-lumen microcatheter versatility during percutaneous coronary intervention of chronic total coronary occlusions. REC Interv Cardiol. 2022;4(1):2021-2023.
Ungureanu C, Gasparini GL, Aminian A, et al. RailTracking: a novel technique to overcome difficult anatomy during transradial approach. J Invasive Cardiol. 2022;34(11):E757-E762.
Shishido K, Moriyama N, Hayashi T, et al. The efficacy of modified jailed balloon technique for true bifurcation lesions. Catheter Cardiovasc Interv. 2020;96(1):20-28.
Wu EB, Brilakis ES, Mashayekhi K, et al. Global chronic total occlusion crossing algorithm. J Am Coll Cardiol. 2021;78(8):840-853.
Okamura A, Iwakura K, Date M, Nagai H, Sumiyoshi A, Fujii K. Navifocus WR is the promising intravascular ultrasound for navigating the guidewire into true lumen during the coronary intervention for chronic total occlusion. Cardiovasc Interv Ther. 2014;29(2):181-186.

Auteurs

Claudiu Ungureanu (C)

Cardiovascular Jolimont Hôpital, La Louvière, Belgium.

Mihai Cocoi (M)

Department of Cardiovascular, Institutul Inimii, Cluj, Romania.

Giuseppe Colletti (G)

Department of Cardiovascular, Clinique Saint Joseph, Vivalia, Arlon, Belgium.

Alexandre Avran (A)

Departement of Cardiovascular, Hôpital Valenciennes, France.

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