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

Year 2014, Volume: 17 Issue: 2, 140 - 142, 01.02.2013

Müslüm Şahin Serdar Demir Mehmet Vefik Yazıcıoğlu Mehmet Muhsin Türkmen

https://doi.org/10.4274/khj.5143

Abstract

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

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

Abstract

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.

Keywords

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

References

• 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.