Bailout subintimal trans‐catheter withdrawal (STRAW) technique for a distally extended coronary hematoma

A coronary hematoma, which can sometimes obstruct coronary flow, may be left behind after tip‐detection antegrade dissection and reentry. We present a novel bailout technique utilizing subintimal trans‐catheter withdrawal technique with the assistance of a stent and a balloon. This technique can be...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2024-09, Vol.104 (3), p.516-520
Main Authors: Tadano, Yutaka, Sugie, Takuro, Kanno, Daitaro, Fujita, Tsutomu
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - instrumentation
atherosclerosis
Balloon treatment
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiac Catheters
Catheters
chronic total occlusion
Coronary Angiography
coronary artery disease
Coronary Circulation
Coronary Vessels - diagnostic imaging
Coronary Vessels - physiopathology
Hematoma
Hematoma - diagnostic imaging
Hematoma - etiology
Hematoma - therapy
Humans
Implants
Male
percutaneous coronary intervention
Stents
Treatment Outcome
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Summary:A coronary hematoma, which can sometimes obstruct coronary flow, may be left behind after tip‐detection antegrade dissection and reentry. We present a novel bailout technique utilizing subintimal trans‐catheter withdrawal technique with the assistance of a stent and a balloon. This technique can be used before performing bailout long stenting or a fenestration procedure with a cutting balloon, which are standard treatments for hematoma, to improve impaired coronary flow caused by a distally extended hematoma.
ISSN:1522-1946
1522-726X
1522-726X
DOI:10.1002/ccd.31160