Knuckle technique guided by intravascular ultrasound for in-stent restenosis occlusion treatment

One of the rarest lesions is in-stent restenosis chronic total occlusion (CTO). Limited data suggest that the treatment success rate is dependent on the possibility to cross into the lumen of an occluded stent, and the decision about what technique to use varies by operator preference. The knuckle t...

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Bibliographic Details
Published in:Postępy w kardiologii interwencyjnej 2015, Vol.11 (1), p.58-61
Main Authors: Tasic, Mladen, Sreckovic, Miodrag J, Jagic, Nikola, Miloradovic, Vladimir, Nikolic, Dusan
Format: Article
Language:English
Online Access:Get full text
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Summary:One of the rarest lesions is in-stent restenosis chronic total occlusion (CTO). Limited data suggest that the treatment success rate is dependent on the possibility to cross into the lumen of an occluded stent, and the decision about what technique to use varies by operator preference. The knuckle technique is used to create a deliberate dissection plane in various CTO techniques. A guide wire is pushed until a complex loop is formed and advanced through the lesion. In this report we present a case where a knuckle wire guided by intravascular ultrasound control is used to penetrate the distal cap in an in-stent restenosis CTO lesion.
ISSN:1734-9338
1897-4295
DOI:10.5114/pwki.2015.49188