Subintimal TRAnscatheter Withdrawal (STRAW) of hematomas compressing the distal true lumen: a novel technique to facilitate distal reentry during recanalization of chronic total occlusion (CTO).
J Invasive Cardiol
; 27(1): E1-4, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-25589704
ABSTRACT
The development of a large hematoma impairing visualization of the distal true lumen is a recognized complication of antegrade recanalization of chronic total occlusions, often forcing the operator to abort the procedure or switch to a retrograde approach. We describe a novel technique utilizing an over-the-wire balloon inflated in the proximal occluded vessel to block inflow and allow aspiration of the blood from the subintimal space. This decompressed the true lumen, restored distal visualization, and allowed successful reentry using a dedicated technology. Utilization of this novel technique may rescue antegrade recanalization attempts complicated by large subintimal hematomas.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Angioplastia Coronária com Balão
/
Descompressão Cirúrgica
/
Oclusão Coronária
/
Hematoma
/
Hemostasia Cirúrgica
/
Complicações Intraoperatórias
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article