PCI for Flush Occluded Right Coronary Artery: Challenges and Techniques for Success

Jasleen Tiwana; Jesse A Kane; Kathleen E Kearney; William L Lombardi; Lorenzo Azzalini

doi:10.1016/j.jaccas.2023.101948

PCI for Flush Occluded Right Coronary Artery: Challenges and Techniques for Success

JACC Case Rep. 2023 Jul 4:19:101948. doi: 10.1016/j.jaccas.2023.101948. eCollection 2023 Aug 2.

Authors

Jasleen Tiwana¹, Jesse A Kane¹, Kathleen E Kearney¹, William L Lombardi¹, Lorenzo Azzalini¹

Affiliation

¹ Division of Cardiology, Department of Medicine, University of Washington, Seattle, Washington, USA.

Abstract

A 74-year-old man with prior coronary artery bypass surgery had a failing vein graft to the right coronary artery (RCA). He underwent retrograde chronic total occlusion recanalization of an ostial flush-occluded RCA facilitated by retrograde angioplasty at the aorto-ostial junction after failed retrograde electrocautery. The graft was then sacrificed. (Level of Difficulty: Advanced.).

Keywords: chronic total occlusion; coiling; electrocautery-assisted re-entry; retrograde; saphenous vein graft.

Publication types

Case Reports