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Updated: Jan 20, 2026

Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique
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Parallel Stenting for Treatment of an In-stent Chronic Total Occlusion after Successful Dissection Reentry Technique

Michael Koutouzis1, Konstantinos Kintis2, Eleftherios Kontopodis1

  • 1Second Cardiology Department, Red Cross General Hospital, Athens, Greece.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|August 28, 2019
PubMed

Insights

This study details a successful stent implantation for in-stent chronic total occlusions (IS-CTO) using the dissection reentry technique. This advanced approach offers a viable solution for complex coronary interventions previously deemed challenging.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Percutaneous coronary interventions (PCI) for chronic total occlusions (CTO) present significant challenges in interventional cardiology.
  • Traditional antegrade wiring methods often face failure in complex CTO cases, necessitating alternative strategies.

Observation:

  • This paper reports a novel case of successful stent implantation in a previously stented chronic total occlusion (in-stent CTO).
  • The procedure utilized the dissection reentry technique, a method offering an alternative to antegrade wiring failure.

Findings:

  • A stent was successfully implanted parallel to existing stents within an in-stent CTO.
  • The dissection reentry technique proved effective in navigating and treating this complex lesion.

Implications:

  • This case highlights the potential of the dissection reentry technique for managing challenging in-stent CTOs.
  • Understanding the technical nuances is crucial for improving procedural success rates in complex coronary interventions.

Keywords:
In-Stent Chronic Total OcclusionsPCIangioplastycoronary interventiondissection reentry techniquestenttransradial coronary intervention

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