Double-Barrel Coronary Artery after Subintimal Stenting for Chronic Total Occlusion

A 70-year-old man with a medical history of hypertension, dyslipidemia, and diabetes was referred to our hospital by his primary care physician for the management of effort angina. Coronary angiography revealed chronic total occlusion (CTO) of the proximal right coronary artery (RCA) that had been collateralized by septal branches from the left anterior descending coronary artery, left circumflex coronary artery, and an antegrade bridge (Fig. 1-A). The lesion was penetrated using subintimal guidewire tracking (Fig.

Source: Cardiovascular Revascularization Medicine - October 29, 2016 Category: Cardiology Authors: Yusuke Watanabe, Yusuke Fujino, Hisaaki Ishiguro, Sunao Nakamura Source Type: research