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Balloon-Assisted Subintimal Entry-Facilitated Tip Detection-Antegrade Dissection Reentry Technique: A Novel Antegrade

Vidya Gilang Rejeki^1,2,3, Yutaka Tadano³, Tsutomu Fujita³

¹National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions

|March 24, 2025

Abstract:

Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) lesions with ambiguous proximal cap remains challenging. We present a successful CTO-PCI case involving proximal cap ambiguity, treated by combining balloon-assisted subintimal entry (BASE) and tip-detection antegrade dissection and re-entry (TD-ADR) techniques. The BASE-facilitated TD-ADR technique is a novel antegrade CTO-PCI approach and has the potential to enhance the safety and efficacy of antegrade CTO-PCI procedures.

Keywords:

antegrade approach balloon‐assisted subintimal entry technique chronic total occlusion percutaneous coronary intervention tip detection‐antegrade dissection and reentry

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