Percutaneous coronary intervention of chronic total occlusion in a left anterior descending coronary artery using an ipsilateral intraseptal bridging collateral tracking technique
Makoto Suzuki1, Yaemi Takagi, Etsuo Tsuchikane
1Department of Cardiology, Ehime Prefectural Central Hospital, Ehime, Japan. suzuki-m@mail.netwve.or.jp
Insights
The Controlled Antegrade and Retrograde Subintimal Tracking (CART) technique offers a breakthrough for percutaneous coronary intervention in chronic total occlusions. This case demonstrates successful recanalization of a mid-left anterior descending artery chronic total occlusion using CART via bridging collaterals.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Coronary Artery Disease
Background:
- Percutaneous coronary intervention (PCI) for coronary artery disease (CAD) remains a cornerstone of treatment.
- Chronic total occlusions (CTO) present significant challenges in PCI, often requiring advanced techniques.
- The Controlled Antegrade and Retrograde Subintimal Tracking (CART) technique has emerged as a significant advancement for CTO PCI.
Abstract:
As one of the great breakthrough techniques in the percutaneous coronary intervention (PCI) for the chronic total occlusions of coronary arteries, the controlled antegrade and retrograde subintimal tracking, so called the "CART" technique, has been developed. We present a first case in whom CTO of the mid LAD coronary artery was well-recanalized using the CART technique via the ipsilateral intraseptal bridging collaterals in the PCI.
