The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter
A bidirectional approach for percutaneous coronary intervention for chronic total occlusion (CTO-PCI) using ipsilateral collaterals with a single guiding catheter limits procedural choices. The CTO of the left circumflex artery with ipsilateral collateral artery was treated by the bidirectional appr...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/7162949 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556082785943552 |
|---|---|
| author | Keisuke Nakabayashi Daisuke Sunaga Nobuhito Kaneko Akihiro Matsui Kazuhiko Tanaka Hiroshi Ando Minoru Shimizu |
| author_facet | Keisuke Nakabayashi Daisuke Sunaga Nobuhito Kaneko Akihiro Matsui Kazuhiko Tanaka Hiroshi Ando Minoru Shimizu |
| author_sort | Keisuke Nakabayashi |
| collection | DOAJ |
| description | A bidirectional approach for percutaneous coronary intervention for chronic total occlusion (CTO-PCI) using ipsilateral collaterals with a single guiding catheter limits procedural choices. The CTO of the left circumflex artery with ipsilateral collateral artery was treated by the bidirectional approach using a single guiding catheter. While the retrograde wire directly crossed the CTO lesion, the microcatheter could not pass the CTO lesion despite the conventional strategies. Therefore, we performed the wire rendezvous and chasing wire techniques. The wire rendezvous technique enables deeper retrograde guidewire progression, and the antegrade microcatheter can reach the CTO entry. The chasing wire technique enables the antegrade guidewire to pass the route made by the retrograde guidewire. These techniques might offer a possible solution for bidirectional CTO-PCI using a single guiding catheter. However, this technique should be considered as a last resort because of the risk of rapid reocclusion. |
| format | Article |
| id | doaj-art-a6955356ac824a05b957bf7350701d7e |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-a6955356ac824a05b957bf7350701d7e2025-02-03T05:46:31ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/71629497162949The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding CatheterKeisuke Nakabayashi0Daisuke Sunaga1Nobuhito Kaneko2Akihiro Matsui3Kazuhiko Tanaka4Hiroshi Ando5Minoru Shimizu6Kasukabe Chuo General Hospital, Heart Center, Saitama, JapanKasukabe Chuo General Hospital, Heart Center, Saitama, JapanKasukabe Chuo General Hospital, Heart Center, Saitama, JapanKasukabe Chuo General Hospital, Heart Center, Saitama, JapanKasukabe Chuo General Hospital, Heart Center, Saitama, JapanKasukabe Chuo General Hospital, Heart Center, Saitama, JapanKasukabe Chuo General Hospital, Heart Center, Saitama, JapanA bidirectional approach for percutaneous coronary intervention for chronic total occlusion (CTO-PCI) using ipsilateral collaterals with a single guiding catheter limits procedural choices. The CTO of the left circumflex artery with ipsilateral collateral artery was treated by the bidirectional approach using a single guiding catheter. While the retrograde wire directly crossed the CTO lesion, the microcatheter could not pass the CTO lesion despite the conventional strategies. Therefore, we performed the wire rendezvous and chasing wire techniques. The wire rendezvous technique enables deeper retrograde guidewire progression, and the antegrade microcatheter can reach the CTO entry. The chasing wire technique enables the antegrade guidewire to pass the route made by the retrograde guidewire. These techniques might offer a possible solution for bidirectional CTO-PCI using a single guiding catheter. However, this technique should be considered as a last resort because of the risk of rapid reocclusion.http://dx.doi.org/10.1155/2018/7162949 |
| spellingShingle | Keisuke Nakabayashi Daisuke Sunaga Nobuhito Kaneko Akihiro Matsui Kazuhiko Tanaka Hiroshi Ando Minoru Shimizu The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter Case Reports in Cardiology |
| title | The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter |
| title_full | The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter |
| title_fullStr | The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter |
| title_full_unstemmed | The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter |
| title_short | The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter |
| title_sort | wire rendezvous and chasing wire technique in the bidirectional approach for the percutaneous coronary intervention for chronic total occlusion with a single guiding catheter |
| url | http://dx.doi.org/10.1155/2018/7162949 |
| work_keys_str_mv | AT keisukenakabayashi thewirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT daisukesunaga thewirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT nobuhitokaneko thewirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT akihiromatsui thewirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT kazuhikotanaka thewirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT hiroshiando thewirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT minorushimizu thewirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT keisukenakabayashi wirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT daisukesunaga wirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT nobuhitokaneko wirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT akihiromatsui wirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT kazuhikotanaka wirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT hiroshiando wirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter AT minorushimizu wirerendezvousandchasingwiretechniqueinthebidirectionalapproachforthepercutaneouscoronaryinterventionforchronictotalocclusionwithasingleguidingcatheter |