Novel Technique Using Intravascular Ultrasound-Guided Guidewire Cross in Coronary Intervention for Uncrossable Chronic Total Occlusions

The experience of using a novel application of intravascular ultrasound (IVUS)-guided percutaneous coronary interventions for chronic total occlusions is reported in 2 cases. In the first case, an IVUS catheter was advanced into a side branch to identify the entry point of the major branch. In the s...

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Bibliographic Details
Published in:Circulation Journal 2004, Vol.68(11), pp.1088-1092
Main Authors: Ito, Shigenori, Suzuki, Takahiko, Ito, Tatsuya, Katoh, Osamu, Ojio, Shinsuke, Sato, Hidetoshi, Ehara, Mariko, Suzuki, Tomomichi, Kawase, Yoshiaki, Myoishi, Masafumi, Kurokawa, Ryohei, Ishihara, Yoshiyuki, Suzuki, Yasuyuki, Sato, Koyo, Toyama, Junji, Fukutomi, Tatsuya, Itoh, Makoto
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - etiology
Aneurysm, Dissecting - therapy
Angioplasty, Balloon, Coronary
Chronic Disease
Chronic total occlusion
Coronary Aneurysm - diagnostic imaging
Coronary Aneurysm - etiology
Coronary Aneurysm - therapy
Coronary angiogram
Coronary Angiography
Coronary Disease - diagnostic imaging
Coronary Disease - therapy
Coronary dissection
Humans
IVUS-guided percutaneous coronary intervention
Male
Middle Aged
Ultrasonography, Interventional - adverse effects
Ultrasonography, Interventional - instrumentation
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Summary:The experience of using a novel application of intravascular ultrasound (IVUS)-guided percutaneous coronary interventions for chronic total occlusions is reported in 2 cases. In the first case, an IVUS catheter was advanced into a side branch to identify the entry point of the major branch. In the second case, IVUS-guided penetration of the guidewire from the false lumen to the true lumen after causing a dissection was successful. (Circ J 2004; 68: 1088 - 1092)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.68.1088