Transcoronary Rapid Pacing Solving a Complex Retrograde Chronic Total Occlusion Procedure

Figures

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  Figure 1. Baseline Angiogram

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  Figure 2. Modern Setup for Chronic Total Occlusion Percutaneous Coronary Intervention (A) Bilateral radial approach with left dorsal radial lateral approach. (B and C) Distal dorsal radial approach with sheathless guiding catheter. (D) Starboard system for radial approach.

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  Figure 3. Retrograde Fielder XT-A Video of retrograde Fielder XT-A guidewire moving backward and forward outside the vessel architecture with each heartbeat. See Video 1.

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  Figure 4. Transcoronary Wire Pacing Technique to Stabilize Distal Cap Puncture Electrocardiogram and hemodynamic curves recording of transcoronary wire pacing technique to stabilize distal cap puncture.

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  Figure 5. TrapLiner-Assisted Reverse Controlled Antegrade and Retrograde Tracking, and Reverse Trapping Balloon

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  Figure 6. Final Angiogram

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  Figure 7. Malapposition Optical Coherence Tomography

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  Figure 8. Final Optical Coherence Tomography