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Int J Angiol 2019; 28(03): 207-209
DOI: 10.1055/s-0038-1661375
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Parallel Stenting for Treatment of an In-stent Chronic Total Occlusion after Successful Dissection Reentry Technique

Michael Koutouzis
1   Second Cardiology Department, Red Cross General Hospital, Athens, Greece
,
Konstantinos Kintis
2   Department of Cardiology, Konstantopoulio General Hospital, Athens, Greece
,
Eleftherios Kontopodis
1   Second Cardiology Department, Red Cross General Hospital, Athens, Greece
,
Georgios Nikitas
1   Second Cardiology Department, Red Cross General Hospital, Athens, Greece
,
Efstathios Lazaris
1   Second Cardiology Department, Red Cross General Hospital, Athens, Greece
› Author Affiliations Funding Sources None.
Further Information

Publication History

Publication Date:
28 June 2018 (online)

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Abstract

Percutaneous coronary interventions (PCI) for chronic total occlusions (CTO) are the most challenging type of procedure in interventional cardiology and are traditionally associated with increased complexity and reduced procedural success rates. New techniques, such as retrograde approach and dissection reentry technique, offer alternatives in case of traditional antegrade wiring failure. In this paper, we present a successful implantation of a stent parallel to other existing stent in an in-stent CTO (IS-CTO) using dissection reentry technique. The technical details involved and the clues to successful outcome in an individual with in-stent CTO are discussed.

Keywords

In-Stent Chronic Total Occlusions - dissection reentry technique - angioplasty - coronary intervention - PCI - stent - transradial coronary intervention
 

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