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30 April 2017 : Case report  Belgium

Telescopic Corsair in 5F Guidion for Retrograde Recanalization of Complex Chronic Total Occlusions (CTOs)

Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis)

Pieter-Jan Palmers12AE*, Joren Maeremans13A, Markus Meyer-Gessner4B, Yoann Bataille5B, Joseph Dens1ABE

DOI: 10.12659/AJCR.902560

Am J Case Rep 2017; 18:472-477

Abstract

BACKGROUND: Retrograde advancement of microcatheters through septal/epicardial connectors can be challenging. Although several tricks might help to do so (e.g., balloon trap of retro wire in second guiding, balloon trap of retro wire in native coronary artery, and use of antegrade extension to approximate the antegrade conduit to the retrograde gear), these tricks cannot always be applied, especially in patients with poor access. Also, puncturing, knuckling, and crossing of the distal CTO cap (or the aorta as described in 1 of the cases) sometimes needs a lot of backup of the microcatheter.

CASE REPORT: We describe 3 cases in which we used a novel telescopic technique with 5F Guidion (IMDS®) supported retrograde Corsair (Asahi®) advancement in complex CTO lesions.

CONCLUSIONS: The telescopic Corsair in 5F Guidion may offer the support needed to end successfully in these situations.

Keywords: Coronary Artery Disease, coronary occlusion, percutaneous coronary intervention

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923