Key result
Pulling an inflated balloon recanalizes dissected coronary occlusions via false-to-true lumen reentry in two patients.
Why the study?
Does pulling an inflated balloon resolve acute coronary occlusion due to large dissection during PTCA when conventional methods fail?
Does pulling an inflated balloon resolve acute coronary occlusion due to large dissection during PTCA when conventional methods fail?
Pulling an inflated balloon may serve as an effective bailout technique to achieve reentry and recanalize acute coronary occlusions caused by large dissections during PTCA.
May serve as bailout for refractory PTCA dissection; leaves open safety and efficacy beyond two cases.
We experienced 2 patients in whom conventional percutaneous methods were not useful for acute occlusions sequel to coronary angioplasty. Acute occlusions seemed to be caused by large dissections. Pulling an inflated balloon at the dissected lesions achieved reentry from the false lumen to the true lumen, thus resolving collapse of the true lumen and recanalizing the occluded coronary artery.
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Oda et al. (1994) studied this question. Pulling an inflated balloon at dissected lesions successfully recanalized acute coronary occlusions by achieving reentry from the false to true lumen in two patients.
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