Transcoronary Rapid Pacing Solving a Complex Retrograde Chronic Total Occlusion Procedure

Abstract

We report a case of revascularization of the right coronary artery via the epicardial collateral, for which we used transcoronary rapid pacing to obtain cardiac standstill while puncturing the distal chronic total occlusion (CTO) cap. To our knowledge, this is the first case in which this technique has been used in CTO. (Level of Difficulty: Advanced.)

Keywords

• chronic total occlusion
• percutaneous coronary intervention
• rapid pacing