Subadventitial Advancement of a Mother-and-Child Catheter to Allow Successful Recanalization of a Complex In-Stent Chronic Total Occlusion: Testing the Resistance of the Adventitia

L Candilio, S Mitomo, M Carlino, A Colombo, Lorenzo Azzalini

Research output: Contribution to journalArticle

Abstract

In-stent chronic total occlusion (CTO) represents a challenging lesion subset for percutaneous coronary intervention (PCI), and although a true-to-true lumen crossing is the first-line strategy, a subadventitial approach may become necessary. Here we describe a case of successful in-stent right coronary artery CTO-PCI performed with subadventitial crossing, crushing of the occluded stents, and advancement of a mother-and-child catheter to the distal right coronary artery through the subadventitial space to allow stent delivery. The use of intracoronary imaging in this setting proved crucial to confirm adequate apposition of the newly implanted stents and optimal crushing of the occluded stents.
Original languageEnglish
Pages (from-to)E190-E194
JournalJournal of Invasive Cardiology
Volume29
Issue number12
Publication statusPublished - 2017

Fingerprint

Adventitia
Stents
Catheters
Mothers
Percutaneous Coronary Intervention
Coronary Vessels

Cite this

Subadventitial Advancement of a Mother-and-Child Catheter to Allow Successful Recanalization of a Complex In-Stent Chronic Total Occlusion: Testing the Resistance of the Adventitia. / Candilio, L; Mitomo, S; Carlino, M; Colombo, A; Azzalini, Lorenzo.

In: Journal of Invasive Cardiology, Vol. 29, No. 12, 2017, p. E190-E194.

Research output: Contribution to journalArticle

@article{460f02fb8c0d428cb08ead30b078cdd4,
title = "Subadventitial Advancement of a Mother-and-Child Catheter to Allow Successful Recanalization of a Complex In-Stent Chronic Total Occlusion: Testing the Resistance of the Adventitia",
abstract = "In-stent chronic total occlusion (CTO) represents a challenging lesion subset for percutaneous coronary intervention (PCI), and although a true-to-true lumen crossing is the first-line strategy, a subadventitial approach may become necessary. Here we describe a case of successful in-stent right coronary artery CTO-PCI performed with subadventitial crossing, crushing of the occluded stents, and advancement of a mother-and-child catheter to the distal right coronary artery through the subadventitial space to allow stent delivery. The use of intracoronary imaging in this setting proved crucial to confirm adequate apposition of the newly implanted stents and optimal crushing of the occluded stents.",
author = "L Candilio and S Mitomo and M Carlino and A Colombo and Lorenzo Azzalini",
year = "2017",
language = "English",
volume = "29",
pages = "E190--E194",
journal = "Journal of Invasive Cardiology",
issn = "1042-3931",
publisher = "HMP Communications",
number = "12",

}

TY - JOUR

T1 - Subadventitial Advancement of a Mother-and-Child Catheter to Allow Successful Recanalization of a Complex In-Stent Chronic Total Occlusion: Testing the Resistance of the Adventitia

AU - Candilio, L

AU - Mitomo, S

AU - Carlino, M

AU - Colombo, A

AU - Azzalini, Lorenzo

PY - 2017

Y1 - 2017

N2 - In-stent chronic total occlusion (CTO) represents a challenging lesion subset for percutaneous coronary intervention (PCI), and although a true-to-true lumen crossing is the first-line strategy, a subadventitial approach may become necessary. Here we describe a case of successful in-stent right coronary artery CTO-PCI performed with subadventitial crossing, crushing of the occluded stents, and advancement of a mother-and-child catheter to the distal right coronary artery through the subadventitial space to allow stent delivery. The use of intracoronary imaging in this setting proved crucial to confirm adequate apposition of the newly implanted stents and optimal crushing of the occluded stents.

AB - In-stent chronic total occlusion (CTO) represents a challenging lesion subset for percutaneous coronary intervention (PCI), and although a true-to-true lumen crossing is the first-line strategy, a subadventitial approach may become necessary. Here we describe a case of successful in-stent right coronary artery CTO-PCI performed with subadventitial crossing, crushing of the occluded stents, and advancement of a mother-and-child catheter to the distal right coronary artery through the subadventitial space to allow stent delivery. The use of intracoronary imaging in this setting proved crucial to confirm adequate apposition of the newly implanted stents and optimal crushing of the occluded stents.

M3 - Article

VL - 29

SP - E190-E194

JO - Journal of Invasive Cardiology

JF - Journal of Invasive Cardiology

SN - 1042-3931

IS - 12

ER -