ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Stumpless ostial right coronary artery chronic total occlusion: Retrograde approach [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2023; 51(1): 63-68 | DOI: 10.5543/tkda.2022.05808

Stumpless ostial right coronary artery chronic total occlusion: Retrograde approach

Sharath Reddy
Department of Cardiology, Medicover Hospitals, Madhapur, Telangana, India

Percutaneous coronary interventions of the coronary total occlusions, especially of the aorto-ostial lesions, portray challenges. As the antegrade wiring is not feasible in aorto-ostial chronic total occlusions, the retrograde wiring remains the lone strategy. We present a successful case of stumpless ostial right coronary artery chronic total occlusion, which was successfully opened by retrograde wiring and externalization by snaring. Intravascular ultrasound was performed to comprehend the diffusely narrowed distal right coronary artery and posterior left ventricular branch (PLVB) to guide stenting strategy in percutaneous coronary intervention.

Keywords: Coronary total occlusion, intravascular ultrasound, ostial occlusion, percutaneous coronary intervention, retrograde crossing

How to cite this article
Sharath Reddy. Stumpless ostial right coronary artery chronic total occlusion: Retrograde approach. Turk Kardiyol Dern Ars. 2023; 51(1): 63-68

Corresponding Author: Sharath Reddy, India
Manuscript Language: English


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