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Published on: March 27, 2018
Successful coronary intervention for chronic total occlusion using a retrograde approach with biradial arteries
Yoshio Taketani1, Hideaki Kaneda, Shigeru Saito
1Cardiology and Catheterization Laboratories, Shonan Kamakura General Hospital, Yamazaki, Kamakura, Japan.
Insights
A retrograde approach using both radial arteries is a feasible technique for percutaneous coronary intervention (PCI) in treating chronic total occlusions (CTO). This method showed success without complications in selected cases.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
Background:
- Chronic total occlusions (CTO) present a challenge in percutaneous coronary intervention (PCI).
- Retrograde approaches offer novel strategies for CTO treatment.
Observation:
- This study details 4 cases of successful PCI for CTO utilizing a retrograde approach.
- The technique involved accessing both radial arteries for the retrograde strategy.
- No complications were observed during or after the procedures in these selected cases.
Findings:
- Successful PCI of CTO was achieved in all 4 presented cases using the retrograde approach.
- The biradial artery access facilitated the retrograde technique for CTO treatment.
- The retrograde approach demonstrated feasibility in selected CTO patients.
Implications:
- The retrograde approach using biradial arteries may be a viable option for complex CTO PCI.
- Further research is warranted to define patient selection criteria for this technique.
- This approach could expand treatment options for patients with challenging coronary anatomy.
Abstract:
A retrograde approach is one of the new techniques of percutaneous coronary intervention (PCI) for the treatment of chronic total occlusions (CTO). We present 4 cases of successful PCI for CTO via a retrograde approach using both radial arteries. There were no complications in these cases. We found that, selected cases, a retrograde approach using the biradial arteries in the treatment of CTO appears to be feasible.
