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Coronary interventions

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

EuroIntervention 2020;16:489-490. DOI: 10.4244/EIJ-D-18-00915

1. Department of Cardiology, Bahcelievler Memorial Hospital, Istanbul, Turkey; 2. Department of Cardiology, Pamukkale University Hospitals, Denizli, Turkey; 3. Department of Cardiovascular Surgery, Sisli Memorial Hospital, Istanbul, Turkey




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).

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