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Updated: Jun 2, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Continuous Mechanical Suction Use During Chronic Total Occlusion Revascularization
Paul Gilbert1, Taral Patel2, Ankur Gupta2
1Department of Internal Medicine, HonorHealth Internal Medicine Residency Program, Scottsdale, Arizona.
Abstract:
Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is high risk compared to non-CTO PCI. Iatrogenic coronary artery hematoma formation is a common occurrence during CTO PCI, impairing true lumen visualization. We describe the use of a continuous mechanical suction (CMS) device in 2 applications in which it was used for successful subintimal hematoma decompression and distal vessel re-entry. Additionally, we briefly review CMS utilization within the published literature. CMS use during CTO may be a viable technique in future revascularization attempts.
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