An algorithmic approach to balloon-uncrossable coronary lesions.
Document Type
Article
Publication Date
8-31-2020
Publication Title
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
Abstract
Balloon uncrossable coronary lesions are lesions that cannot be crossed with a balloon after successful guidewire crossing. The strategies used to facilitate the treatment of such lesions can be classified into strategies that provide lesion modification and strategies that increase support. We describe a systematic, algorithmic approach to treat balloon uncrossable lesions, starting with use of small balloons, followed by increase in guide catheter support, use of microcatheters, wire cutting or puncture techniques, laser, atherectomy, and subintimal modification techniques. Sequential and simultaneous application of the aforementioned techniques can result in successful treatment of these challenging lesions.
Clinical Institute
Cardiovascular (Heart)
Department
Cardiology
Recommended Citation
Elrayes, Mahmoud M; Xenogiannis, Iosif; Nikolakopoulos, Ilias; Vemmou, Evangelia; Wollmuth, Jason R; Rafeh, Nidal Abi; Karmpaliotis, Dimitri; Gasparini, Gabriele L; Burke, Martin Nicholas; and Brilakis, Emmanouil S, "An algorithmic approach to balloon-uncrossable coronary lesions." (2020). Articles, Abstracts, and Reports. 3646.
https://digitalcommons.providence.org/publications/3646
