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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
PubMed

Insights

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.

Keywords:
Chronic total occlusionPercutaneous Coronary InterventionST-segment elevation myocardial infarctiondistal transradial accessmulti-vessel coronary artery disease

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