TY - JOUR AU - Han, Yuan AU - Jing, Quanmin AU - Su, Yanbin AU - Wang, Wei PY - 2019 TI - Successful revascularization of right coronary artery chronic total occlusion by the antegrade and retrograde approaches JF - AME Case Reports; Vol 3 (August 2019): AME Case Reports Y2 - 2019 KW - N2 - The treatment of chronic total occlusion (CTO) of coronary arteries allowed for a remarkable improvement in success rates and is represented by the introduction of the “Hybrid algorithm”. An inability to cross the occlusion with a guidewire is the most common cause of failure of CTO revascularization. As antegrade options are limited, intervention upon the extreme angulation of the coronary artery warrants a retrograde approach. Here, we report a 58-year-old man with symptoms of effort angina complicated with three-vessel disease and CTO of the right coronary artery (RCA). Left main artery bifurcation lesions were treated with systematic two-stent strategies and intervention upon RCA CTO after three months by means of a combination of the antegrade and retrograde approaches. The RCA was eventually revascularized by the implantation of stents, and no adverse events were observed during hospitalization. UR - https://acr.amegroups.org/article/view/5080