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

Abstract 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 c...

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Veröffentlicht in:European heart journal : case reports 2023-08, Vol.7 (8)
Hauptverfasser: Hribernik, Ines, Bentham, James
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container_title European heart journal : case reports
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Bentham, James
description Abstract 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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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). 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subjects Cardiac patients
Case Series
Congenital heart disease
Genetic disorders
Health aspects
Heart diseases
Medical equipment and supplies industry
Medical test kit industry
Methods
Mortality
Transluminal angioplasty
United States
title Transcatheter recanalization of chronic total occlusion in congenital heart disease: case reports and lessons from percutaneous coronary interventions
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