Cardiovascular Revascularization Medicine
Volume 11, Issue 1 , Pages 34-40, January 2010

Percutaneous coronary intervention for chronic total occlusive lesion of a left anterior descending artery using the retrograde approach via a septal–septal channel

  • Makoto Utsunomiya

      Affiliations

    • Cardiovascular Center, Kyoto-Katsura Hospital, Kyoto, Japan
    • Corresponding Author InformationCorresponding author. Cardiovascular Center, Kyoto-Katsura Hospital, 17 Yamada-Hirao-cho, Nishikyo-ku, Kyoto 615-8256, Japan. Tel.: +81 75 382 3185; fax: +81 75 382 3199.
    • ,
  • Naoki Mukohara

      Affiliations

    • Cardiovascular Medicine, Japanese Red Cross Society Himeji Hospital, Hyogo, Japan
    • ,
  • Ryoichi Hirami

      Affiliations

    • Cardiovascular Medicine, Japanese Red Cross Society Himeji Hospital, Hyogo, Japan
    • ,
  • Shigeru Nakamura

      Affiliations

    • Cardiovascular Center, Kyoto-Katsura Hospital, Kyoto, Japan

Received 29 December 2008; received in revised form 2 March 2009; accepted 3 March 2009.

Abstract 

The retrograde approach is an effective therapeutic strategy for chronic total occlusion (CTO) intervention. In CTO cases, the retrograde approach from the opposite coronary artery is not always applicable. In certain left anterior descending (LAD) CTO cases, the distal LAD is filled from the septal channel where it is supplied by the proximal septal route. We report two LAD CTO cases of percutaneous coronary intervention (PCI) conducted with a wire from the proximal septal branch to the distal septal channel using the retrograde approach.

Keywords: CTO, Retrograde approach, Septal–septal collateral channel

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PII: S1553-8389(09)00083-9

doi:10.1016/j.carrev.2009.03.001

Cardiovascular Revascularization Medicine
Volume 11, Issue 1 , Pages 34-40, January 2010

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