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Chronic Total Occlusion Recanalization Concurrent to Culprit Primary Percutaneous Coronary Intervention via Distal
Marcos Danillo Peixoto Oliveira1,2, Ednelson Cunha Navarro1, Glenda Alves de Sá1
1Department of Interventional Cardiology, Hospital Regional do Vale do Paraíba, São Paulo, Brazil.
Heart Views : the Official Journal of the Gulf Heart Association
|September 29, 2021
Summary
Complete revascularization is best for STEMI patients with multi-vessel disease. This case shows successful treatment of a nonculprit chronic total occlusion during primary PCI using distal transradial access.
Area of Science:
- Interventional Cardiology
- Vascular Medicine
- Acute Coronary Syndromes
Background:
- Complete revascularization improves outcomes in ST-elevation myocardial infarction (STEMI) with multi-vessel coronary disease compared to culprit-only percutaneous coronary intervention (PCI).
- Chronic total occlusions (CTO) present significant challenges for successful PCI.
- Distal transradial access (dTRA) offers potential benefits including quicker hemostasis and reduced risk of radial artery occlusion.
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