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Bilateral Approach With Single Guiding Catheter for Negotiation in Retrograde PCI: The ZHANG Bin Technique
Feihuang Han1, Dunliang Ma1, Qiheng Wan1
1Department of Cardiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Insights
The ZHANG Bin technique offers a novel approach to retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI), reducing vascular risks with a single arterial access. This method enhances patient safety and procedural efficiency in specific CTO cases.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- Conventional retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) requires dual arterial access, increasing vascular risks and patient discomfort.
- There is a significant clinical need for techniques that mitigate these risks.
Background:
The pursuit of techniques that mitigate the vascular risks and patient discomfort associated with the dual arterial access required for conventional retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is of significant clinical interest.
Case Summary:
A 56-year-old man with a CTO of the distal right coronary artery underwent revascularization. After failed antegrade wire escalation technique, a novel single-guiding catheter retrograde technique-the ZHANG Bin technique-was successfully employed.
Discussion:
The ZHANG Bin technique demonstrates that retrograde CTO-PCI with a single guiding catheter via a single arterial access (radial or femoral) is feasible, enhancing patient safety by reducing vascular complications while maintaining procedural efficacy across specific scenarios.
Take-Home Messages:
The ZHANG Bin technique represents a potentially significant advancement in procedural efficiency and patient safety. While not universally applicable to all retrograde CTO-PCI cases, it offers a powerful and elegant alternative in specific scenarios.
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