Successful treatment of chronic total occlusion of the coronary arteries through the femoral vein: a novel approach

Abstract

Despite the vessel’s inaccessibility to dual coronary angiography and the use of classical routes for retrograde treatment of chronic total occlusion (CTO), the approach through the femoral vein and subsequent transseptal puncture with catheterization of ostium of coronary arteries is a viable treatment approach.

Keywords

• coronary artery disease
• chronic total occlusion
• coronary angiography
• percutaneous coronary intervention
• vascular access
• femoral vein
• transseptal puncture