Work

The Beck Procedure Revisited

Year: 2025

Type: article

Abstract: BACKGROUND: Many patients live with angina following treatment when all available therapies have failed. Providing retrograde arterial myocardial perfusion using the coronary venous system was performed. The first previously reported percutaneous method might have limited application. EARLY REPORT SUMMARY: We present a first-in-human successful, reproducible, and widely applicable percutaneous procedure using a noncovered coronary stent to connect the left circumflex (LCX) to the coronary sinus (CS) in a patient with previous placement of a CS Reducer. DISCUSSION AND NOVELTY: Unlike the previous report, our procedure shows for the first time that placement of a noncovered stent between the proximal LCX and the CS did not result in bleeding while effectively relieving the angina. Using a noncovered stent to create a bypass to the CS makes the procedure applicable to more patients with lifestyle-limiting angina. TAKE-HOME MESSAGE: Using the noncovered stent from the LCX to the CS to provide myocardial perfusion might be feasible and safe.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103233

Authors: Khaldoon Alaswad, William O. O’Neill, Asaad Nakhle, Gerald C. Koenig, Brittany S. Fuller, Dee Dee Wang

Institutions: Henry Ford Hospital, Michigan State University, Wayne State University

Language: English

Topic: Coronary Interventions and Diagnostics

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850