Percutaneous revascularisation of a chronic total occlusion in a surgically reconstructed vessel

Figure 1. Percutaneous revascularisation of a chronic total occlusion in a surgically reconstructed vessel. Endarterectomy material and stents extracted during bypass surgery (A). Although a guidewire was advanced to the distal segment of the artery (dashed arrow indicates distal RCA, B), and a tip injection confirmed the true lumen (arrow, C), a guidewire could not be advanced through the collaterals. The operator switched to the antegrade approach (D & E) and the lesion was crossed using the parallel wire technique. Two bioresorbable vascular scaffolds were implanted (F). The control angiogram showed good results (G).

Treatment options for recurrent ...