An algorithmic approach to balloon-uncrossable coronary lesions.

Mahmoud M Elrayes; Iosif Xenogiannis; Ilias Nikolakopoulos; Evangelia Vemmou; Jason R Wollmuth; Nidal Abi Rafeh; Dimitri Karmpaliotis; Gabriele L Gasparini; Martin Nicholas Burke; Emmanouil S Brilakis

An algorithmic approach to balloon-uncrossable coronary lesions.

Mahmoud M Elrayes, Iosif Xenogiannis, Ilias Nikolakopoulos, Evangelia Vemmou, Jason R Wollmuth, Nidal Abi Rafeh, Dimitri Karmpaliotis, Gabriele L Gasparini, Martin Nicholas Burke, Emmanouil S Brilakis

Research output: Contribution to journal › Article › peer-review

Abstract

Balloon uncrossable coronary lesions are lesions that cannot be crossed with a balloon after successful guidewire crossing. The strategies used to facilitate the treatment of such lesions can be classified into strategies that provide lesion modification and strategies that increase support. We describe a systematic, algorithmic approach to treat balloon uncrossable lesions, starting with use of small balloons, followed by increase in guide catheter support, use of microcatheters, wire cutting or puncture techniques, laser, atherectomy, and subintimal modification techniques. Sequential and simultaneous application of the aforementioned techniques can result in successful treatment of these challenging lesions.

Original language	American English
Journal	Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography Interventions
State	Published - Aug 31 2020

Disciplines

Cardiology

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https://pubmed.ncbi.nlm.nih.gov/32865855

Cite this

Elrayes, M. M., Xenogiannis, I., Nikolakopoulos, I., Vemmou, E., Wollmuth, J. R., Rafeh, N. A., Karmpaliotis, D., Gasparini, G. L., Burke, M. N., & Brilakis, E. S. (2020). An algorithmic approach to balloon-uncrossable coronary lesions. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography Interventions. https://pubmed.ncbi.nlm.nih.gov/32865855

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title = "An algorithmic approach to balloon-uncrossable coronary lesions.",

abstract = " Balloon uncrossable coronary lesions are lesions that cannot be crossed with a balloon after successful guidewire crossing. The strategies used to facilitate the treatment of such lesions can be classified into strategies that provide lesion modification and strategies that increase support. We describe a systematic, algorithmic approach to treat balloon uncrossable lesions, starting with use of small balloons, followed by increase in guide catheter support, use of microcatheters, wire cutting or puncture techniques, laser, atherectomy, and subintimal modification techniques. Sequential and simultaneous application of the aforementioned techniques can result in successful treatment of these challenging lesions.",

author = "Elrayes, {Mahmoud M} and Iosif Xenogiannis and Ilias Nikolakopoulos and Evangelia Vemmou and Wollmuth, {Jason R} and Rafeh, {Nidal Abi} and Dimitri Karmpaliotis and Gasparini, {Gabriele L} and Burke, {Martin Nicholas} and Brilakis, {Emmanouil S}",

year = "2020",

month = aug,

day = "31",

language = "American English",

journal = "Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography Interventions",

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Elrayes, MM, Xenogiannis, I, Nikolakopoulos, I, Vemmou, E, Wollmuth, JR, Rafeh, NA, Karmpaliotis, D, Gasparini, GL, Burke, MN & Brilakis, ES 2020, 'An algorithmic approach to balloon-uncrossable coronary lesions.', Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography Interventions. <https://pubmed.ncbi.nlm.nih.gov/32865855>

TY - JOUR

T1 - An algorithmic approach to balloon-uncrossable coronary lesions.

AU - Elrayes, Mahmoud M

AU - Xenogiannis, Iosif

AU - Nikolakopoulos, Ilias

AU - Vemmou, Evangelia

AU - Wollmuth, Jason R

AU - Rafeh, Nidal Abi

AU - Karmpaliotis, Dimitri

AU - Gasparini, Gabriele L

AU - Burke, Martin Nicholas

AU - Brilakis, Emmanouil S

PY - 2020/8/31

Y1 - 2020/8/31

N2 - Balloon uncrossable coronary lesions are lesions that cannot be crossed with a balloon after successful guidewire crossing. The strategies used to facilitate the treatment of such lesions can be classified into strategies that provide lesion modification and strategies that increase support. We describe a systematic, algorithmic approach to treat balloon uncrossable lesions, starting with use of small balloons, followed by increase in guide catheter support, use of microcatheters, wire cutting or puncture techniques, laser, atherectomy, and subintimal modification techniques. Sequential and simultaneous application of the aforementioned techniques can result in successful treatment of these challenging lesions.

AB - Balloon uncrossable coronary lesions are lesions that cannot be crossed with a balloon after successful guidewire crossing. The strategies used to facilitate the treatment of such lesions can be classified into strategies that provide lesion modification and strategies that increase support. We describe a systematic, algorithmic approach to treat balloon uncrossable lesions, starting with use of small balloons, followed by increase in guide catheter support, use of microcatheters, wire cutting or puncture techniques, laser, atherectomy, and subintimal modification techniques. Sequential and simultaneous application of the aforementioned techniques can result in successful treatment of these challenging lesions.

UR - https://digitalcommons.psjhealth.org/publications/3646

UR - https://pubmed.ncbi.nlm.nih.gov/32865855

M3 - Article

JO - Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography Interventions

JF - Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography Interventions

ER -

An algorithmic approach to balloon-uncrossable coronary lesions.

Abstract

Disciplines

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