A Practical Technique to Advance Stent Through Uncrossable Coronary Lesions: A Prospective Cohort Study

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dc.contributor.authorAlyan Ö.
dc.contributor.authorSümerkan M.Ç.
dc.contributor.authorKeskın K.
dc.contributor.authorDemır H.A.
dc.date.accessioned2024-04-24T17:58:23Z
dc.date.available2024-04-24T17:58:23Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Uncrossable coronary lesions are still challenging to treat. Several devices and techniques are introduced, including rotational atherectomy, or anchor balloon. However, these methods are expensive, not always available, and associated with lower procedural success and higher major adverse cardiac events. Our study describes a simple, effective method [patience technique (PT)] to advance a stent through uncrossable lesions that has not been described in the literature. Material and Methods: In a prospective study with 24 patients undergoing uncrossable lesion percutaneous coronary intervention with stent advancement failures, we identify PT and describe our experience with PT. The PT is the process of pushing the uncrossed same stent for a prolonged time under an optimum constant force to overcome the intraluminal friction. Results: Twenty-three (95.8%) patients had modified American College of Cardiology/ American Heart Association classification Type C, 22 (91.70%) diffuse [median length: 38 mm (quartiles 31.25-52.25)], 22 (91.70%) eccentric and 20 (83.30%) moderate-extensive calcified lesions. Respectively, 8 (27.59%) of 29 stenosis was in left anterior descending, and right coronary artery, 6 (20.69%) left circumflex coronary artery, 3 (10.35%) D1, 2 (6.90%) left main coronary artery-Cx, 1 (3.45%) LCxOM2 and saphenous vein graft-LCxOM2. The median stent advancement time was 134.00 seconds (quartiles 95.25-178.50). All procedures progressed after using the PT and finally resulted successfully without complications. Conclusion: The PT is feasible, and safe for facilitating the passage of stents through uncrossable lesions. Before advancing percutaneous cardiac intervention techniques, this method could be used advantageously in calcified, diffuse, and eccentric lesions. © 2023 OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S.. All rights reserved.en_US
dc.identifier.doi10.5336/cardiosci.2023-98476
dc.identifier.endpage68en_US
dc.identifier.issn1306-7656
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85175541991en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage58en_US
dc.identifier.trdizinid1258814en_US
dc.identifier.urihttps://doi.org/10.5336/cardiosci.2023-98476
dc.identifier.urihttps://hdl.handle.net/11468/23888
dc.identifier.volume35en_US
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherOrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S.en_US
dc.relation.ispartofTurkiye Klinikleri Cardiovascular Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCoronary Artery Diseaseen_US
dc.subjectPercutaneous Coronary İnterventionen_US
dc.titleA Practical Technique to Advance Stent Through Uncrossable Coronary Lesions: A Prospective Cohort Studyen_US
dc.title.alternativeGeçilemeyen Koroner Lezyonlarda Stenti İlerletmenin Pratik Tekniği: Prospektif Kohort Çalışmasıen_US
dc.typeArticleen_US

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