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Successful revascularization of right coronary artery chronic total occlusion by the antegrade and retrograde approaches

   
@article{ACR5080,
	author = {Yuan Han and Quanmin Jing and Yanbin Su and Wei Wang},
	title = {Successful revascularization of right coronary artery chronic total occlusion by the antegrade and retrograde approaches},
	journal = {AME Case Reports},
	volume = {3},
	number = {0},
	year = {2019},
	keywords = {},
	abstract = {The treatment of chronic total occlusion (CTO) of coronary arteries allowed for a remarkable improvement in success rates and is represented by the introduction of the “Hybrid algorithm”. An inability to cross the occlusion with a guidewire is the most common cause of failure of CTO revascularization. As antegrade options are limited, intervention upon the extreme angulation of the coronary artery warrants a retrograde approach. Here, we report a 58-year-old man with symptoms of effort angina complicated with three-vessel disease and CTO of the right coronary artery (RCA). Left main artery bifurcation lesions were treated with systematic two-stent strategies and intervention upon RCA CTO after three months by means of a combination of the antegrade and retrograde approaches. The RCA was eventually revascularized by the implantation of stents, and no adverse events were observed during hospitalization.},
	issn = {2523-1995},	url = {https://acr.amegroups.org/article/view/5080}
}