(Bi-)Ulnar Access for Percutaneous Intervention of Coronary Chronic Total Occlusion: A Case Series
| Autor: | Simone Budassi, Pierfrancesco Agostoni, Benjamin Scott, Carlo Zivelonghi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment Psychological intervention Vascular access Percutaneous coronary intervention General Medicine Case presentation 030204 cardiovascular system & hematology Total occlusion 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Conventional PCI medicine 030212 general & internal medicine Cardiology and Cardiovascular Medicine Intensive care medicine business |
| Zdroj: | Cardiovascular Revascularization Medicine. 21:130-133 |
| ISSN: | 1553-8389 |
| DOI: | 10.1016/j.carrev.2019.10.014 |
| Popis: | Background Percutaneous Coronary Interventions (PCI) of chronic total occlusions (CTOs) represent one of the most complex procedure in the whole spectrum of PCI. In the last years the success rate of CTO-PCI has improved because of the evolution in materials and in CTO-techniques. For most CTO operators, the choice of the vascular access has been driven by the desire to achieve a high success-rate. The trans-femoral access allows the use of larger caliber guide catheters with increased passive support and may help to achieve a better procedural success. Recently, the use of bi-radial approach has gained popularity, supported by evidence of non-inferiority versus the bifemoral/radial-femoral approach. At present, very limited data are available concerning the use of trans-ulnar access for this complex setting of PCI. Case presentation In the present manuscript, we describe in detail a case series of patients undergoing CTO PCI, with limited options in vascular access and resolved with trans-ulnar approach. Conclusions Our case series shows the safety and feasibility of transulnar approach in CTO-PCI. |
| Databáze: | OpenAIRE |
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