JACC: Case Reports (Aug 2023)

PCI for Flush Occluded Right Coronary Artery

  • Jasleen Tiwana, MD,
  • Jesse A. Kane, MD,
  • Kathleen E. Kearney, MD,
  • William L. Lombardi, MD,
  • Lorenzo Azzalini, MD, PhD, MSc

Journal volume & issue
Vol. 19
p. 101948

Abstract

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A 74-year-old man with prior coronary artery bypass surgery had a failing vein graft to the right coronary artery (RCA). He underwent retrograde chronic total occlusion recanalization of an ostial flush-occluded RCA facilitated by retrograde angioplasty at the aorto-ostial junction after failed retrograde electrocautery. The graft was then sacrificed. (Level of Difficulty: Advanced.)

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