Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions

BACKGROUND: Chronic complete vascular occlusion causes significant morbidity and mortality in patients with congenital heart disease (CHD). The diversity of lesions, lack of dedicated equipment, and small number of procedures performed by individual operator continue to pose a challenge to congenita...

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Autores principales: Hribernik, Ines, Bentham, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Series
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464570/
https://www.ncbi.nlm.nih.gov/pubmed/37650077
http://dx.doi.org/10.1093/ehjcr/ytad403
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author Hribernik, Ines
Bentham, James
author_facet Hribernik, Ines
Bentham, James
author_sort Hribernik, Ines
collection PubMed
description BACKGROUND: Chronic complete vascular occlusion causes significant morbidity and mortality in patients with congenital heart disease (CHD). The diversity of lesions, lack of dedicated equipment, and small number of procedures performed by individual operator continue to pose a challenge to congenital interventional cardiologists. CASE SUMMARY: We report two cases of percutaneous recanalization in CHD using percutaneous coronary intervention (PCI) equipment for chronic total occlusion (CTO). DISCUSSION: Careful pre-procedural planning, access site choice, use of catheter guiding systems for support, and selection of penetrating guidewires and techniques used in CTO-PCIs are key steps to a successful outcome.
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spelling pubmed-104645702023-08-30 Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions Hribernik, Ines Bentham, James Eur Heart J Case Rep Case Series BACKGROUND: Chronic complete vascular occlusion causes significant morbidity and mortality in patients with congenital heart disease (CHD). The diversity of lesions, lack of dedicated equipment, and small number of procedures performed by individual operator continue to pose a challenge to congenital interventional cardiologists. CASE SUMMARY: We report two cases of percutaneous recanalization in CHD using percutaneous coronary intervention (PCI) equipment for chronic total occlusion (CTO). DISCUSSION: Careful pre-procedural planning, access site choice, use of catheter guiding systems for support, and selection of penetrating guidewires and techniques used in CTO-PCIs are key steps to a successful outcome. Oxford University Press 2023-08-17 /pmc/articles/PMC10464570/ /pubmed/37650077 http://dx.doi.org/10.1093/ehjcr/ytad403 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Series
Hribernik, Ines
Bentham, James
Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
title Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
title_full Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
title_fullStr Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
title_full_unstemmed Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
title_short Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
title_sort transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464570/
https://www.ncbi.nlm.nih.gov/pubmed/37650077
http://dx.doi.org/10.1093/ehjcr/ytad403
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AT benthamjames transcatheterrecanalizationofchronictotalocclusionincongenitalheartdiseasecasereportsandlessonsfrompercutaneouscoronaryinterventions

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