A case of chronic total occlusion of coronary arteries opened by reverse guidewire technology with ipsilateral brachioradial artery combined approach
10.3969/j.issn.1004-8812.2025.10.009
- VernacularTitle:同侧肱桡动脉联合入路逆向导丝技术开通冠状动脉慢性完全闭塞病变1例
- Author:
Zhao-kun MA
1
;
Cheng-yi XU
;
Ya-feng GUO
;
Dong YI
;
Zheng-le YANG
;
Hua YAN
Author Information
1. 武汉科技大学附属亚洲心脏病医院心内科,湖北武汉 430022;武汉科技大学医学部医学院,湖北武汉 430062
- Publication Type:Journal Article
- Keywords:
Intra-aortic balloon pump;
Left brachial artery;
Chronic total occlusion;
Percutaneous coronary intervention;
Reverse wire technique
- From:
Chinese Journal of Interventional Cardiology
2025;33(10):597-600
- CountryChina
- Language:Chinese
-
Abstract:
Intra-aortic balloon pump(IABP),as the most commonly used percutaneous mechanical circulatory assist device,is routinely implanted through the femoral artery pathway.However,when implantation through the femoral artery pathway is difficult or contraindicated,other pathways including the brachial artery pathway,axillary artery pathway,etc.can be considered.IABP assisted interventional treatment for complex high-risk and indicated patients(CHIP)can reduce the risk of intraoperative complications,stabilize hemodynamics,increase the complete revascularization rate of CHIP,and improve long-term prognosis.The reverse guidewire technique can improve the success rate of percutaneous coronary intervention(PCI)for chronic total occlusion(CTO)of coronary arteries.In clinical practice,the reverse pathway is often chosen in addition to the forward pathway,such as the contralateral radial and brachial artery pathway,femoral artery pathway,etc.This article reports a case of bilateral femoral artery occlusion,in which IABP was implanted through the left brachial artery pathway,and then with the assistance of IABP,the right coronary artery CTO lesion was successfully opened through the right radial artery in the forward direction and the right brachial artery in the reverse direction,with the aim of providing reference for clinical PCI treatment for such special cases.
