Why the study?
Percutaneous coronary intervention of chronic total occlusion lesions remains a major challenge and is associated with higher complication rates due to procedural complexity.
Cutting balloon angioplasty may be an effective management strategy for iatrogenic compressive coronary intramural hematoma during CTO-PCI.
Supports cutting balloon for iatrogenic hematoma; hypothesis-generating case report that should not yet change practice.
Despite the advancement of various devices and techniques, percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) lesion remains one of the major challenges in interventional cardiology fields. It is also associated with higher complications than non-CTO-PCI due to procedural complexity. We presented a case of iatrogenic compressive coronary intramural hematoma (IMH) as CTO-PCI complications, which was judiciously detected and successfully managed with a cutting balloon.
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Yahya et al. (2022) studied this question.
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