Coronary and peripheral stenting in aorto‐ostial protruding stents: The balloon assisted access to protruding stent technique

Abstract

Treatment of aorto-ostial in-stent restenosis lesions represents a challenge for interventional cardiologists. Excessive protrusion of the stent into the aorta may lead to multiple technical problems, such as difficult catheter reengagement of the vessel ostium or inability to re-wire through the stent lumen in repeat interventions. We describe a balloon assisted access to protruding stent technique in cases where conventional coaxial engagement of an aorto-ostial protruding stent with the guide catheter or passage of the guide wire through the true lumen is not feasible. This technique is applicable both in coronary and peripheral arteries.

Challenging Intervention to Restenosis of Right Coronary Ostial Stent Excessively Overhanging to the Aorta: A Case Report and Brief Review of Literature

“…Afterward, pushing the balloon catheter towards the ostium of the priorly implanted stent with a slight forward motion enables the retraction of the catheter. Leaving a gap between the overhanging stent ostium and the guiding catheter provides rectification of the target level and the angle in relation to the overhung stent and aids the advancement of the second wire through the central stent lumen [ 7 ].…”

Prevalence and Outcomes of Percutaneous Coronary Interventions for Ostial Chronic Total Occlusions: Insights From a Multicenter Chronic Total Occlusion Registry

“…Adequate coverage of the vessel ostium and re-engaging the vessel after stenting can also be challenging. [1][2][3]…”