Vessel reconstruction in total coronary occlusions with a long subintimal wire pathway: Use of multiple stents under guidance of intravascular ultrasound

Werner, Gerald S.; Diedrich, Jürgen; Scholz, K. H.; Knies, Alexandra; Kreuzer, H

doi:10.1002/(sici)1097-0304(199701)40:1<46::aid-ccd9>3.0.co;2-b

Cited by 22 publications

(8 citation statements)

References 10 publications

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“…In antegrade approach, it helps to resolve proximal cap ambiguity, facilitates re-entry into the true lumen after subintimal crossing [13,14] IVUS probe (always advanced on an anterograde guidewire) can be used in retrograde guidewire crossing and reverse controlled antegrade retrograde tracking (CART) technique. In addition, after stenting, expansion, apposition, and extension can be further optimized with IVUS assessment [7].…”

Section: Discussionmentioning

confidence: 99%

Intravascular ultrasound in percutanous coronary intervention for chronic total occlusions: predictors of use, indications and in-hospital outcome

Boukhris¹,

Seminara²,

Elleuche³

et al. 2017

Blood Heart Circ

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Section: Discussionmentioning

confidence: 99%

Intravascular ultrasound in percutanous coronary intervention for chronic total occlusions: predictors of use, indications and in-hospital outcome

Boukhris¹,

Seminara²,

Elleuche³

et al. 2017

Blood Heart Circ

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“…Voraussetzung ist dabei, dass der IVUS-Katheter in einen Seitast vorgebracht werden kann. Hierzu sind wegen der kürzeren Spitze die elektronischen IVUS-Katheter (Volcano) am besten geeignet [23,24]. Weiter sind die transseptalen fadenförmigen Kollateralen des sog.…”

Section: Verbesserte Antegrade Rekanalisationstechnikunclassified

Therapie des chronischen Koronararterienverschlusses

Werner

2011

Herz

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The present article discusses the current status of treatment strategies for chronic total occlusion (CTO) and the prospects offered by new therapies. The indication for revascularisation recognized in the current European guidelines includes the presence of typical symptoms and evidence of ischemia of over 10% of the total myocardium, while in patients with multiple vascular diseases the aim is complete revascularisation. Although the vast majority of patients with CTO fulfil these criteria, they are currently not receiving interventional treatment as frequently as expected. The reasons often given for this include the low success rates and high recurrence rates. However, both problems have been improved by drug-eluting stents (DES) on the one hand and by wire techniques and strategies on the other, such that results almost comparable with non-occluded coronary lesions can be achieved. While more advanced approaches like retrograde recanalization should be restricted to specialized centres, marked improvements can be achieved even without these special techniques by means of consistent further training and the application of modern techniques. Despite the aggressiveness of these approaches to pass through an occluded artery, the complication rate is not higher than with non-occluded lesions when the specific complications of recanalization are avoided in a careful approach. Further technical improvements are expected with the use of modern imaging techniques such as intravascular ultrasound and high-resolution CT imaging of coronary arteries.

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“…Voraussetzung ist dabei, dass der IVUS-Katheter in einen Seitenast vorgebracht werden kann. Hierzu sind wegen der kürze-ren Spitze die elektronischen IVUS-Katheter am besten geeignet [12,27,31].…”

Section: Verbesserte Drahtrekanalisationstechnikunclassified

Chronischer Koronarverschluss: Neue Techniken und Strategien

Werner

2008

Clin Res Cardiol Suppl

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Vessel reconstruction in total coronary occlusions with a long subintimal wire pathway: Use of multiple stents under guidance of intravascular ultrasound

Cited by 22 publications

References 10 publications

Intravascular ultrasound in percutanous coronary intervention for chronic total occlusions: predictors of use, indications and in-hospital outcome

Intravascular ultrasound in percutanous coronary intervention for chronic total occlusions: predictors of use, indications and in-hospital outcome

Therapie des chronischen Koronararterienverschlusses

Chronischer Koronarverschluss: Neue Techniken und Strategien

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