Chronic Total Occlusion Recanalization Concurrent to Culprit Primary Percutaneous Coronary Intervention via Distal Transradial Access: Maximizing Revascularization Through Minimalist Approach

Marcos Danillo Peixoto Oliveira; Ednelson Cunha Navarro; Glenda Alves de Sá; Alen Cleber Monteiro; Adriano Caixeta

doi:10.4103/HEARTVIEWS.HEARTVIEWS_209_20

Chronic Total Occlusion Recanalization Concurrent to Culprit Primary Percutaneous Coronary Intervention via Distal Transradial Access: Maximizing Revascularization Through Minimalist Approach

Heart Views. 2021 Apr-Jun;22(2):150-153. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_209_20. Epub 2021 Aug 19.

Authors

Marcos Danillo Peixoto Oliveira^{1

2}, Ednelson Cunha Navarro¹, Glenda Alves de Sá¹, Alen Cleber Monteiro¹, Adriano Caixeta²

Affiliations

¹ Department of Interventional Cardiology, Hospital Regional do Vale do Paraíba, São Paulo, Brazil.
² Department of Interventional Cardiology, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.

PMID: 34584629
PMCID: PMC8445132
DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_209_20

Abstract

For ST-segment elevation myocardial infarction (STEMI) patients with multi-vessel coronary disease, complete revascularization is superior to culprit-only percutaneous coronary intervention (PCI). Chronic total occlusion represents the most challenging setting for PCI. Distal transradial access (dTRA) has advantages such as faster hemostasis and risk of proximal radial artery occlusion. We report a case of nonculprit coronary total occlusion recanalization concurrent to culprit primary PCI via dTRA in the setting of STEMI.

Keywords: Chronic total occlusion; Percutaneous Coronary Intervention; ST-segment elevation myocardial infarction; distal transradial access; multi-vessel coronary artery disease.

Publication types

Case Reports