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Novel use of cutting balloon to treat subintimal hematomas during chronic total occlusion interventions |
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| Authors: | Minh N. Vo MD Emmanouil S. Brilakis MD PhD J. Aaron Grantham MD |
| Affiliation: | 1. Mazankowski Alberta Heart Institute, Edmonton, Alberta, Canada;2. Minneapolis Heart Institute, Minneapolis, Minnesota;3. Saint Luke's Mid America Heart Institute, Kansas City, Missouri |
| Abstract: | Contemporary chronic total occlusion (CTO) percutaneous coronary interventional (PCI) techniques are increasingly dependent upon dissection and reentry techniques (DARTs) especially for long occluded lesions. DARTs can result in compressive hematomas during CTO interventions and traditional treatment with balloon angioplasty and/or coronary stenting are often suboptimal and may extend the hematoma distally. We describe the novel use of a cutting balloon to “express” these compressive hematomas and restore antegrade coronary blood flow. |
| Keywords: | chronic total occlusion dissection and reentry techniques percutaneous coronary intervention |