Work

“Stick and Swap” Technique Through the ReCross Dual-Lumen Microcatheter

Year: 2025

Type: article

Abstract: BACKGROUND: A major limitation of antegrade dissection and re-entry (ADR) is formation of an extraplaque hematoma that can hinder the crossing of coronary chronic total occlusions (CTOs). Use of the ReCross dual-lumen microcatheter (IMDS; Biotronik in the United States) can sometimes enable re-entry. CASE SUMMARY: Here we describe a patient with angina pectoris secondary to a CTO lesion in the right coronary artery and cardiac arrest resulting from ventricular fibrillation. An Astato XS 20 wire (Asahi Intecc Medical) was advanced through both exit ports of the ReCross microcatheter, followed by successful entry into the distal true lumen with a Pilot 200 wire (Abbott Vascular). DISCUSSION: Wiring the CTO through a ReCross dual-lumen microcatheter creates a smaller extraplaque hematoma and makes the ADR procedure easier. Other advantages are lower cost and more widespread availability. TAKE-HOME MESSAGE: This case highlights the importance of multimodality intervention using the ReCross catheter in the treatment of complex coronary artery obstructive disease.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103371

Authors: Fadhel Nabil Hamidani, Emmanouil S. Brilakis, Blerim Berisha

Institution: Minneapolis Heart Institute Foundation

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