Challenging Aorto-Coronary Occlusion: Which Solution?

J Invasive Cardiol. 2019 Jan;31(1):E1.

Abstract

Aorto-coronary occlusion is a particularly difficult lesion to treat, especially in an emergent setting. To our knowledge, this is the first description of the use of a microcatheter not to support the guidewire, but to open an aorto-coronary calcific occlusion with anterograde approach in an emergent situation.

Keywords: acute coronary syndrome; aorto-coronary occlusion; cardiac imaging; microcatheter.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Angioplasty, Balloon / methods*
  • Cardiac Catheterization / methods
  • Coronary Angiography / methods*
  • Coronary Occlusion / diagnostic imaging
  • Coronary Occlusion / therapy*
  • Drug-Eluting Stents*
  • Female
  • Humans
  • Out-of-Hospital Cardiac Arrest / therapy
  • Risk Assessment
  • ST Elevation Myocardial Infarction / diagnostic imaging
  • ST Elevation Myocardial Infarction / therapy*
  • Shock, Cardiogenic / diagnostic imaging
  • Shock, Cardiogenic / therapy*
  • Treatment Outcome