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Published on: May 26, 2015
Use of the venture wire control catheter for subintimal coronary dissection and reentry in chronic total occlusions
Neeraj Badhey1, William L Lombardi, Craig A Thompson
1VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Insights
Antegrade wiring for chronic total occlusions (CTO) can fail if the wire enters the subintimal space. The Venture wire control catheter successfully guided wires back into the true lumen, aiding CTO recanalization.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Vascular Access Techniques
Background:
- Antegrade wiring is a common strategy for recanalizing chronic total occlusions (CTOs).
- Subintimal wire entry and failure to reenter the true lumen are significant challenges in CTO procedures.
- Successful re-entry into the true lumen is crucial for restoring blood flow.
Abstract:
Antegrade wiring of chronic total occlusions (CTO) may fail due to subintimal wire entry and inability to reenter the true lumen. We report the use of the Venture wire control catheter to reenter the true lumen after subintimal entry in a long right coronary artery CTO.
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