Retrograde Balloon‐Assisted Subintimal Entry for Chronic Total Occlusion Percutaneous Coronary Intervention

An impenetrable proximal cap complicates chronic total occlusion (CTO) percutaneous coronary intervention (PCI) and is often an indication for the retrograde approach. When also the distal cap of the CTO is impenetrable, very few options remain to recanalize the vessel. We report a case of retrograde balloon-assisted subintimal entry (BASE), enabling successful CTO PCI in a case with impenetrable proximal and distal caps.

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Publication Details

Journal
Catheterization and Cardiovascular Interventions
Published
2026-01-08
DOI
https://doi.org/10.1002/ccd.70467
Primary Topic
Coronary Interventions and Diagnostics
Type
article
Field-Weighted Citation Impact
0.00
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article

Retrograde Balloon‐Assisted Subintimal Entry for Chronic Total Occlusion Percutaneous Coronary Intervention

Primero Ng, Lorenzo Azzalini
Catheterization and Cardiovascular Interventions
Coronary Interventions and Diagnostics
article

Retrograde Balloon‐Assisted Subintimal Entry for Chronic Total Occlusion Percutaneous Coronary Intervention

Primero Ng, Lorenzo Azzalini
article en

Abstract

An impenetrable proximal cap complicates chronic total occlusion (CTO) percutaneous coronary intervention (PCI) and is often an indication for the retrograde approach. When also the distal cap of the CTO is impenetrable, very few options remain to recanalize the vessel. We report a case of retrograde balloon-assisted subintimal entry (BASE), enabling successful CTO PCI in a case with impenetrable proximal and distal caps.

Catheterization and Cardiovascular InterventionsVol. 107(4)
University of Washington (US), Royal Perth Hospital (AU)
Openalex Percentile: Top 94%
Coronary Interventions and Diagnostics
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