Intentional creation of dissection flaps to treat perforations during chronic total occlusion percutaneous coronary intervention

被引：3

作者：

Tiwana, Jasleen ^{[1
]}

Kane, Jesse A. ^{[1
]}

Kearney, Kathleen E. ^{[1
]}

Azzalini, Lorenzo ^{[1
]}

机构：

[1] Univ Washington, Dept Med, Div Cardiol, Med Ctr, 1959 NE Pacific St, Box 356422, Seattle, WA 98195 USA

来源：

CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2024年 / 58卷

关键词：

Chronic total occlusion; Percutaneous coronary intervention; Perforation; Subintimal shift; Dissection flap; TREATMENT STRATEGY;

D O I：

10.1016/j.carrev.2023.08.012

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) carries a non-negligible risk of coronary per-foration. Definitive treatment of a proximal large vessel perforation often requires the use of covered stents; however, the latter carry significant risk of restenosis and thrombosis, and is not feasible if wire control of the distal vessel has not been achieved. We describe two cases of target vessel perforations during CTO PCI which were treated by the in-tentional creation of dissection flaps using the subintimal tracking and re-entry technique to seal the perforation.

引用

页码：104 / 108

页数：5

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