eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
1/2015
vol. 11
 
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abstract:

Methods and Techniques
Knuckle technique guided by intravascular ultrasound for in-stent restenosis occlusion treatment

Mladen Tasic
,
Miodrag J. Sreckovic
,
Nikola Jagic
,
Vladimir Miloradovic
,
Dusan Nikolic

Postep Kardiol Inter 2015; 11, 1 (39): 58–61
Online publish date: 2015/03/06
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One of the rarest lesions is in-stent restenosis chronic total occlusion (CTO). Limited data suggest that the treatment success rate is dependent on the possibility to cross into the lumen of an occluded stent, and the decision about what technique to use varies by operator preference. The knuckle technique is used to create a deliberate dissection plane in various CTO techniques. A guide wire is pushed until a complex loop is formed and advanced through the lesion. In this report we present a case where a knuckle wire guided by intravascular ultrasound control is used to penetrate the distal cap in an in-stent restenosis CTO lesion.
keywords:

in-stent restenosis, chronic total occlusion, knuckle technique, intravascular ultrasound

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