• J Invasive Cardiol · Sep 2013

    Case Reports

    Use of the retrograde approach for primary percutaneous coronary intervention of an inferior ST-segment elevation myocardial infarction.

    • Vishal G Patel, Ahmad Zankar, and Emmanouil Brilakis.
    • VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas, USA.
    • J Invasive Cardiol. 2013 Sep 1; 25 (9): 483-4.

    AbstractPercutaneous coronary intervention (PCI) during ST-segment elevation myocardial infarction (STEMI) can be challenging due to limited distal vessel visualization. We present a case of challenging antegrade wiring during PCI of an inferior STEMI resulting in inadvertent subintimal wiring and ballooning. Recognition of this scenario prior to stenting allowed vessel rescue using the retrograde chronic total occlusion revascularization technique.

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