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Chronic total occlusion angioplasty through supplying collaterals

✍ Scribed by Sridhar Sampath Kumar; Barry Kaplan

Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
331 KB
Volume
68
Category
Article
ISSN
1522-1946

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✦ Synopsis

Abstract

Chronic total occlusions are typically difficult to recannalize especially when adverse angiographic morphologies are identified. We describe a case of chronic total occlusion crossing retrograde through the supplying collaterals followed by successful angioplasty and stenting. Β© 2006 Wiley‐Liss, Inc.

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This report describes a patient with a chronically occluded proximal LAD in whom antegrade flow was not reestablished by successful dilatation alone. Obliteration of retrograde collateral flow restored antegrade flow. This case demonstrates the potential detrimental effect of vigorous collateral flo