Abrupt Closure during Percutaneous Coronary Intervention (PCI): Two Guide Technique

Abstract

Abrupt closure during coronary intervention is defined as an abrupt cessation of coronary flow to TIMI grade 0 or 1 flow during coronary angioplasty. Primary causes for abrupt closure include dissection, thrombus formation or combination of both. Initial treatment for abrupt closure includes balloon redilatation and deployment of stent to stabilize a dissection. In unstable patients, a quick shift to Operation theatre with an Intra-aortic Balloon Pump (IABP) support could save the lives. Here we present a case of abrupt closure during elective coronary intervention to Left Anterior Descending (LAD) artery which didn’t respond to any of the routine techniques employed, but saved with two guide technique.