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  • Retrograde Approach for a Failed Antegrade PCI: Watch Out for the Back Door

    • Posted: 12/16/2020
    • Author:

      Mario Sádaba Sagredo, Asier Subinas Elorriaga, Laura Mañas Alonso, Ainhoa Benegas Aróstegui, ... Jose Ramón Rumoroso Cuevas

    • CRM2020

    Highlights

    • A PCI to the RCA (functional occlusion) is attempted in a patient with a previous ACS in the LAD.
    • The anterograde wire make a distal dissection with occlusion of the RCA.
    • A retrograde wire from the LAD is advanced to the RCA proximal to the stenosis, but there is an acute occlusion of the LAD.
    • Finally, three DES are implanted in the proximal-mid RCA with TIMI 3 flow but with residual distal dissection.

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