“Ping-pong” technique for treating a balloon uncrossable chronic total occlusion

Koutouzis, Michael; Avdikos, Grigorios; Nikitas, Georgios; Zografos, Theodoros; Tsiafoutis, Ioannis; Agelaki, Maria; Lazaris, Efstathios

doi:10.1016/j.carrev.2017.07.005

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…A double guiding-catheter strategy, the so called “ping-pong” technique, could be one possible option, which leads to the smooth manipulation of the retrograde approach without interference from the antegrade system. This technique was reported for treating complications [ 14 , 15 ] and CTO-PCI [ 16 ]. On the other hand, the single guiding-catheter strategy could be a less invasive option but limits the procedure choices because of the interferences in both systems.…”

Section: Introductionmentioning

confidence: 99%

The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter

Nakabayashi

Sunaga

Kaneko

et al. 2018

Case Reports in Cardiology

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A bidirectional approach for percutaneous coronary intervention for chronic total occlusion (CTO-PCI) using ipsilateral collaterals with a single guiding catheter limits procedural choices. The CTO of the left circumflex artery with ipsilateral collateral artery was treated by the bidirectional approach using a single guiding catheter. While the retrograde wire directly crossed the CTO lesion, the microcatheter could not pass the CTO lesion despite the conventional strategies. Therefore, we performed the wire rendezvous and chasing wire techniques. The wire rendezvous technique enables deeper retrograde guidewire progression, and the antegrade microcatheter can reach the CTO entry. The chasing wire technique enables the antegrade guidewire to pass the route made by the retrograde guidewire. These techniques might offer a possible solution for bidirectional CTO-PCI using a single guiding catheter. However, this technique should be considered as a last resort because of the risk of rapid reocclusion.

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Section: Introductionmentioning

confidence: 99%

The Wire Rendezvous and Chasing Wire Technique in the Bidirectional Approach for the Percutaneous Coronary Intervention for Chronic Total Occlusion with a Single Guiding Catheter

Nakabayashi

Sunaga

Kaneko

et al. 2018

Case Reports in Cardiology

View full text Add to dashboard Cite

show abstract

“…Si bien el abordaje retrógrado homocoronariano se puede llevar a cabo con la técnica de doble catéter llamada «ping-pong» 8 , lo que facilita la manipulación de los materiales de la vía anterógrada, en nuestro caso se optó por un solo acceso arterial por ser una opción menos invasiva, aunque podría interferir con el desplazamiento de los materiales en dirección anterógrada (esta limitación podría mejorarse con la utilización de catéteres de 7 Fr). En este caso, a pesar de utilizar una guía de 6 Fr, no hubo dificultad en el paso de los materiales en dirección anterógrada (ayudado también por Figura 2.…”

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