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

A very rare complication of chronic total occlusion (cto) ıntervention: Tip of corsair micro-catheter punctured by guide-wire

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.

Kronik total oklüzyon (kto) girişiminin nadir bir komplikasyonu: Korsair mikro-kateter ucunun kılavuz tel ile delinmesi

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.

PDF

___

1. 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.
2. Zidar FJ, Kaplan BM, ONeill 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. Shah PB. Management of coronary chronic total occlusion. Circulation 2011;123:1780-4.
9. Hee-Yeol Kim. Percutaneous recanalization of coronary chronic total occlusions: Current devices and specialized wire crossing techniques. Korean Circ J 2010;40:209-15.
10. 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.
11. 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.
12. 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.