Abstract
Vessel Plus is an open acccess journal, which publishes articles related to vascular diseases, including acute respiratory distress syndrome, aneurysm, atherosclerosis, hypertension, stroke, peripheral vascular or pulmonary vascular diseases, etc.
Highlights
The use of the retrograde approach[1,2,3,4,5,6,7,8,9] has dramatically increased in the last years, throug the septal collaterals and saphenous venous graft[10], and via epicardial connections[11] to the chronic total occlusion (CTO) lesion.We report the case of a right coronary artery (RCA) CTO recanalized using the retrograde approach through the contralateral channels of a third septal artery connecting with the moderator band artery [Figure 1] that was connected with the right ventricular branch of the RCA
The retrograde approach has dramatically increased as an alternative to recanalize complex CTO in case of anterograde failure
Data from the ERCTO registry showed that retrograde approach was only used in 15% of the CTO procedures[12]
Summary
The use of the retrograde approach[1,2,3,4,5,6,7,8,9] has dramatically increased in the last years, throug the septal collaterals and saphenous venous graft[10], and via epicardial connections[11] to the chronic total occlusion (CTO) lesion.We report the case of a right coronary artery (RCA) CTO recanalized using the retrograde approach through the contralateral channels of a third septal artery connecting with the moderator band artery [Figure 1] that was connected with the right ventricular branch of the RCA. The use of the retrograde approach[1,2,3,4,5,6,7,8,9] has dramatically increased in the last years, throug the septal collaterals and saphenous venous graft[10], and via epicardial connections[11] to the chronic total occlusion (CTO) lesion.
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