Percutaneous coronary intervention (PCI) for Chronic Total Occlusion (CTO) of Left Descending Artery (LAD)

Authors

  • Muhammad Yasir Faisalabad Institute of Cardiology, Faisalabad -Pakistan.
  • Ayesha Iqbal Faisalabad Institute of Cardiology, Faisalabad -Pakistan.

Abstract

Introduction: This case report highlights a novel approach in the management of refractory angina by utilizing advanced interventional techniques for Chronic Total Occlusion (CTO) lesions. While conventional interventional cardiology tends to avoid treating CTO due to potential complications, this case presents an innovative strategy that challenges the status quo and contributes to the scientific literature.

Case Presentation: The patient under study presented with refractory angina, a condition characterized by persistent chest pain despite medical treatment. The focus was on a CTO lesion, which traditionally poses high risks and often necessitates surgical intervention. However, in this instance, the patient's condition and suitable anatomical characteristics made them a candidate for an alternative approach.

Results: The management involved the use of advanced CTO equipment and endovascular methods, deviating from the conventional surgical route. The chosen Percutaneous Coronary Intervention (PCI) approach proved successful, resulting in the complete resolution of the CTO lesion. This intervention led to a notable improvement in the patient's overall cardiac function, both regionally and globally, as evidenced by follow-up assessments.

Conclusion: This case underscores the potential of advanced CTO PCI techniques in managing refractory angina patients with appropriate anatomical features. The positive outcomes challenge the conventional notion of exclusively opting for surgical intervention for CTO cases. The successful application of this innovative strategy not only expands the therapeutic options available but also underscores the importance of expert intervention and specialized equipment.

References

Ray S. Tips & Tricks in Interventional Cardiology. Jaypee Brothers Medical Publishers; 2017.

Creaney C, Walsh SJ. Antegrade chronic total occlusion strategies: a technical focus for 2020. Interv Cardiol Rev. 2020;15.

Brilakis ES. THE ROLE OF: Dissection/Re-Entry in CTO PCI. Cardiol Today Interv. 2013;2(1):12.

Berkhout T, Claessen BE, Dirksen MT. Advances in percutaneous coronary intervention for chronic total occlusions: current antegrade dissection and reentry techniques and updated algorithm. Netherlands Heart J. 2021;29:52-59.

Kambis Mashayekhi, Reverse CART techniques: conventional, directed, extended, assisted, EURO CTO CLUB, Toulouse, 2018

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Published

2023-09-04

How to Cite

Yasir , M., & Iqbal, A. (2023). Percutaneous coronary intervention (PCI) for Chronic Total Occlusion (CTO) of Left Descending Artery (LAD). Cathalogue, 1(1), 37–42. Retrieved from https://pjcvi.com/index.php/Cathalogue/article/view/58

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Articles