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Sequential Dual Guide Catheter Technique for Chronic Total Occlusion Interventions in Patients With Prior Coronary

Ahmed Al-Ogaili1, A J Chu2, Yader Sandoval2

  • 1Division of Cardiovascular Medicine, Penn Presbyterian Medical Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|December 11, 2024
PubMed

Insights

Complex chronic total occlusion percutaneous coronary intervention (PCI) in patients with prior coronary artery bypass surgery (CABG) can require multiple arterial access points. A sequential dual guide technique successfully reduced access points from three to two in two complex cases.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery
  • Cardiovascular Imaging

Background:

  • Complex chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in patients with prior coronary artery bypass surgery (CABG) often requires extensive arterial access for complete vessel visualization.
  • Multiple collateral circulation sources in these patients present unique challenges for successful PCI.
  • Traditional approaches may necessitate up to three arterial access points.

Keywords:
CORG ‐ coronary bypass graftsCTOCTO ‐ percutaneous coronary interventionPCIC ‐ percutaneous coronary interventioncomplex PCI

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