What does this research mean for the field?

The reverse T-stenting and small protrusion technique, combined with an investment strategy, can be successfully utilized to treat complex left main chronic total occlusions in patients with prior coronary artery bypass grafting. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 3, 2026

A challenging case of left main chronic total occlusion and the reverse T-stenting and small protrusion technique: success with the investment strategy

Puntos clave

Success was achieved with the reverse T-stenting technique despite chronic total occlusion of the left main coronary artery.
The patient, aged 62, had worsening angina while receiving optimal antianginal medical therapy and normal test results.

PICO estructurado

Población

62-year-old man with a history of coronary artery bypass graft, worsening anginal symptoms despite optimal antianginal medical therapy, and left main chronic total occlusion

Intervención

Reverse T-stenting and small protrusion technique with the investment strategy

Resultado

Procedural success

Demonstrates the successful application of the reverse T-stenting and small protrusion technique with an investment strategy for a complex left main chronic total occlusion.

Resumen

A 62-year-old man with a history of coronary artery bypass graft was referred because of worsening anginal symptoms despite being on optimal antianginal medical therapy. Physical examination, electrocardiogram, echocardiogram, and routine laboratory tests were normal, with negative cardiac enzyme values.

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