Labinaz M, Culp S C, Kisslo K B, Brott B C, Phillips H R, Stack R S
Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Cathet Cardiovasc Diagn. 1995 Mar;34(3):251-4. doi: 10.1002/ccd.1810340118.
Crossing total occlusions is frequently difficult. The guidewire may enter a false lumen, thereby preventing successful balloon dilatations. We present a case of an acute arterial dissection following attempted angioplasty of a totally occluded right coronary artery. With an intravascular ultrasound probe in the false lumen, we were able to visualize a second guidewire and direct its passage into the true arterial lumen. This allowed for successful balloon dilatation and stent deployment restoring vessel patency.
