Retrograde approach to an ostial left anterior descending chronic total occlusion through a left internal mammary artery graft |
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| Authors: | Pawan Hari MD MPH Ajay J Kirtane MD SM Sripal Bangalore MD MHA |
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| Institution: | 1. Division of Cardiology, New York University Langone Medical Center, New York, New York, USA;2. Division of Cardiology, Columbia University Medical Center/New York‐Presbyterian Hospital, New York, New York, USA |
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| Abstract: | Retrograde approach to chronic total occlusions (CTO) has been described via saphenous vein grafts, septal and epicardial collaterals. We report for the first time a successful retrograde approach to an ostial left anterior descending (LAD) artery CTO through a failed left internal mammary artery (LIMA) to LAD anastamosis. This case demonstrates the technical aspects of using a LIMA conduit as a retrograde approach to CTO. © 2015 Wiley Periodicals, Inc. |
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| Keywords: | coronary artery disease angiography coronary carotid artery disease intervention coronary bypass grafts percutaneous coronary intervention complex PCI |
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