“Power knuckle” for facilitating the “move the cap” technique

Minh N. Vo; Emmanouil S. Brilakis; William Lombardi

doi:10.1002/ccd.30542

“Power knuckle” for facilitating the “move the cap” technique

Minh N. Vo, Emmanouil S. Brilakis, William Lombardi

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

Abstract

Chronic total occlusions with proximal cap ambiguity remains the most challenging to recanalize and are associated with higher failure rate. We describe the “power knuckle” technique, in which the subintimal space proximal to the proximal cap is safely entered with a knuckle wire supported by a microcatheter and an inflated balloon. The “power knuckle” can facilitate entry into the extraplaque space for subsequent antegrade dissection and re-entry.

Original language	English (US)
Pages (from-to)	343-346
Number of pages	4
Journal	Catheterization and Cardiovascular Interventions
Volume	101
Issue number	2
DOIs	https://doi.org/10.1002/ccd.30542
State	Published - Feb 1 2023
Externally published	Yes

Keywords

chronic total occlusion
percutaneous coronary intervention

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1002/ccd.30542

Cite this

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abstract = "Chronic total occlusions with proximal cap ambiguity remains the most challenging to recanalize and are associated with higher failure rate. We describe the “power knuckle” technique, in which the subintimal space proximal to the proximal cap is safely entered with a knuckle wire supported by a microcatheter and an inflated balloon. The “power knuckle” can facilitate entry into the extraplaque space for subsequent antegrade dissection and re-entry.",

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AB - Chronic total occlusions with proximal cap ambiguity remains the most challenging to recanalize and are associated with higher failure rate. We describe the “power knuckle” technique, in which the subintimal space proximal to the proximal cap is safely entered with a knuckle wire supported by a microcatheter and an inflated balloon. The “power knuckle” can facilitate entry into the extraplaque space for subsequent antegrade dissection and re-entry.

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“Power knuckle” for facilitating the “move the cap” technique

Abstract

Keywords

ASJC Scopus subject areas

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