Clinical Experience of a Novel Optical Coherence Tomography-Guided Coronary Chronic Total Occlusion Re-Entry Device

Pratik B Sandesara; Gregory C Robertson; Kin F Chan; Douglas Rowe; Adrian Ebner; Laura Minarsch; William Lombardi; David E Kandzari; Tomoaki Hinohara; John B Simpson

doi:10.1016/j.jaccas.2023.102041

Clinical Experience of a Novel Optical Coherence Tomography-Guided Coronary Chronic Total Occlusion Re-Entry Device

JACC Case Rep. 2023 Oct 6:26:102041. doi: 10.1016/j.jaccas.2023.102041. eCollection 2023 Nov 15.

Authors

Affiliations

¹ Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
² Simpson Interventions, Inc., Campbell, California, USA.
³ Sanatorio Italiano, Asunción, Paraguay.
⁴ MMC Medical, Laguna Beach, California, USA.
⁵ Division of Cardiology, University of Washington, Seattle, Washington, USA.
⁶ Piedmont Heart Institute, Atlanta, Georgia, USA.
⁷ Sequoia Hospital, Redwood City, California, USA.

Abstract

We demonstrated a first-in-human case of successful antegrade dissection and re-entry using an image-guided re-entry catheter that enables real-time high-resolution visualization with graphical augmentation, and precision steering and advancement of a guidewire. The total time from over-the-wire deployment in the proximity of the distal cap to successful re-entry was <20 minutes. (Level of Difficulty: Advanced.).

Keywords: antegrade dissection and re-entry; catheter; chronic total occlusion; guidewire; image augmentation; image-guided intervention; intravascular imaging; optical coherence tomography; percutaneous coronary intervention.

Publication types

Case Reports