Müslüm ŞAHİN, Serdar DEMİR, Mehmet Vefik YAZICIOĞLU, Mehmet Muhsin TÜRKMEN

Kronik Total Oklüzyon (KTO) Girişiminin Nadir Bir Komplikasyonu: Korsair Mikro-Kateter Ucunun Kılavuz Tel ile Delinmesi

Kronik total oklüzyon (KTO) girişimleri uzun süreli deneyim ve dikkat gerektirir. Yeni tekniklere ve kılavuz tellere rağmen başarı oranı non-KTO girişimlerine göre daha düşüktür. Ayrıca KTO girişimleri damar diseksiyonu ve perforasyonu riski taşır. Bu makalede KTO girişimi sırasında kılavuz tel tarafından delinen korsair mikro-kateter olgusunu sunuyoruz.

Anahtar Kelimeler:

Kronik total oklüzyon, korsair mikro-kateter; komplikasyon; perforasyon

A Very Rare Complication of Chronic Total Occlusion (CTO) Intervention: Tip of Corsair Micro-Catheter Punctured By Guide-Wire

Intervention of chronic total occlusion (CTO) requires long-term experience and attention. Despite new techniques and guide-wires, the success rate is lower than non-CTO intervention. Also CTO intervention has risk for vessel dissection and perforation. In this case, we present at punctured of corsair micro catheter by the guide-wire during CTO intervention.

Keywords:

Kronik total oklüzyon, korsair mikro-kateter; komplikasyon; perforasyon,

PDF

___

Werner GS, Emig U, Mutschke O, Schwarz G, Bahrmann P, Figulla HR. Regression of collateral function after recanalization of chronic total coronary occlusions: a serial assessment by intracoronary pressure and Doppler recording. Circulation 2003;108:2877-82. wire
Zidar FJ, Kaplan BM, O’Neill WW, Jones DE, Schreiber TL, Safian RD, et al. Prospective randomized trial of prolonged intracoronary urokinase infusion for chronic total occlusion in native coronary arteries. J Am Coll Cardiol 1996;27:1406-12.
Anderson HV, Shaw RE, Brindis RG, Hewitt K, Krone RJ, Block PC, et al. A contemporary overview of percutaneous coronary interventions: the American College of Cardiology-National Cardiovascular Data Registry (ACC-NCDR). J Am Coll Cardiol 2002;39:1096-103.
Williams DO, Holubkov R, Yeh W, Bourassa MG, Al-Bassam M, Block PC, et al. Percutaneous coronary intervention in the current era compared with 1985-1986: the National Heart-Lung, and Blood Institute Registries. Circulation 2000;102:2945-51.
Buller CE, Dzavik V, Carere RG, Mancini GB, Barbeau G, Lazzam C, et al. Primary stenting versus balloon angioplasty in occluded coronary arteries: The Total Occlusion Study of Canada (TOSCA). Circulation 1999;100:236- 42.
Sirnes PA, Golf S, Myreng Y, Molstad P, Emanuelsson H, Albertsson P, et al. Stenting in Chronic Coronary Occlusion (SİCCO). A randomized,controlled trial of adding stent implantation after successful angioplasty. J Am Coll Cardiol 1996;28:1444-51.
Grantham JA, Marso SP, Spertus J, House J, Holmes DR Jr, Rutherford BD. Chronic total occlusion angioplasty in the United States. JACC Cardiovasc Interv 2009;2:479-486.
Shah PB. Management of coronary chronic total occlusion. Circulation 2011;123:1780-4.
Hee-Yeol Kim. Percutaneous recanalization of coronary chronic total occlusions: Current devices and specialized wire crossing techniques. Korean Circ J 2010;40:209-15.
Mitsudo K, Yamashita T, Asakura Y, Muramatsu T, Doi O, Shibata Y, et al. Recanalization strategy for chronic total occlusion with tapered and stiff-tip guidewire. The Results of CTO New techniQUE for Standard Procedure(CONQUEST ) trial. J Invasive Cardiol 2008;11:571-7.
Rathore S, Matsuo H, Terashima M, Kinoshita Y, Kimura M, Tsuchikane E, et al. Procedural and in-hospital outcomes after percutaneous coronary intervention for chronic total occlusions of coronary arteries 2002 to 2008: impact of novel guidewire techniques. JACC Cardiovasc Interv 2009;2:489-97.
Al-Lamee R, Ielasi A, Latib A, Godino C, Ferraro M, Mussardo M, et al. Incidence, predictors, management, immediate and long-term outcomes following grade III coronary perforation. JACC Cardiovasc Interv 2011;2:87-95.

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi