CrossBoss导管在慢性完全闭塞病变的支架小梁间穿出至内膜下间隙：经逆行途径在冠状动脉内会师完成病例。
Exit of CrossBoss between stent struts within chronic total occlusion to subintimal space: Completion of case via retrograde approach with rendezvous in coronary.
作者信息
Ntatsios Antonios, Smith William Howard Thornton
机构信息
Department of Cardiology, Trent Cardiac Centre, City Campus, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
出版信息
J Cardiol Cases. 2014 Feb 6;9(5):183-186. doi: 10.1016/j.jccase.2014.01.004. eCollection 2014 May.
We present a case of successful percutaneous revascularization of a chronic total coronary occlusion due to in-stent restenosis. The CrossBoss catheter (BridgePoint Medical, Minneapolis, MN, USA) was used initially because it is reported to be effective in this setting with a low risk of exiting occluded stents. To the best of our knowledge, this is the first reported case of a CrossBoss penetrating through stent struts into the subintimal space. The case was completed via the retrograde approach with 'rendezvous in coronary'. < Recognize the potential of the CrossBoss catheter to exit between stent struts within chronic total occlusions. Appreciate the need to check the position of the CrossBoss catheter with respect to stents within a chronic total occlusion. Identify the potential for 'rendezvous in coronary' within the subintimal space with the CrossBoss catheter and a retrograde guidewire.>.
我们报告了一例因支架内再狭窄导致慢性完全性冠状动脉闭塞而成功进行经皮血管重建的病例。最初使用了CrossBoss导管（BridgePoint Medical，美国明尼苏达州明尼阿波利斯），因为据报道它在这种情况下有效，且穿出闭塞支架的风险较低。据我们所知，这是首例报道的CrossBoss导管穿透支架小梁进入内膜下间隙的病例。该病例通过逆行途径并采用“冠状动脉会师”完成。<认识到CrossBoss导管在慢性完全闭塞病变中穿出支架小梁的可能性。了解在慢性完全闭塞病变中检查CrossBoss导管相对于支架位置的必要性。认识到CrossBoss导管与逆行导丝在内膜下间隙进行“冠状动脉会师”的可能性。>
Zotero 插件