{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T17:42:49Z","timestamp":1793036569490,"version":"4.5.0"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T00:00:00Z","timestamp":1654819200000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>It has been considered impossible to perform antegrade dissection and reentry (ADR) by simply puncturing with a guidewire using the intravascular ultrasound (IVUS) observation without the support of the Stingray system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 78-year-old man suffered from effort angina pectoris due to a chronic total occlusion (CTO) lesion in the left circumflex coronary artery. A retry percutaneous coronary intervention for the CTO lesion was attempted at our hospital. The J-CTO score was 3. The first guidewire entered the subintimal space. We moved onto Stingray-ADR using the angiographic observation, but the guidewire could not be led into the true lumen. AnteOwl WR-IVUS (AO-IVUS) observation revealed a distal true lumen in which the inner lumen was maintained 5\u2005mm beyond the CTO exit. We decided to perform the tip detection-ADR using the AO-IVUS observation. The tip detection method allowed the tip of the penetration wire to puncture the wall between the subintima and the true lumen in an exactly vertical direction, resulting in the successful creation of a reentry point. The CTO lesion was dilated with one drug-eluting stent, and normal antegrade blood flow was achieved.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Since the tip detection method enables accurate punctures, it may allow for ADR by simply puncturing using a guidewire. Due to this method being performed using the IVUS observation, it is likely more reliable than Stingray-ADR using the angiographic observation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac233","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T11:31:06Z","timestamp":1654860666000},"source":"Crossref","is-referenced-by-count":16,"title":["Tip detection-antegrade dissection and reentry using intravascular ultrasound in chronic total occlusion intervention: first human case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7179-8708","authenticated-orcid":false,"given":"Satoshi","family":"Suzuki","sequence":"first","affiliation":[{"name":"Cardiovascular Center, Sakurabashi Watanabe Hospital, \u00a0 2-4-32 Umeda, Kita-ku , Osaka 530-0001, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0934-1955","authenticated-orcid":false,"given":"Atsunori","family":"Okamura","sequence":"additional","affiliation":[{"name":"Cardiovascular Center, Sakurabashi Watanabe Hospital, \u00a0 2-4-32 Umeda, Kita-ku , Osaka 530-0001, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Nagai","sequence":"additional","affiliation":[{"name":"Cardiovascular Center, Sakurabashi Watanabe Hospital, \u00a0 2-4-32 Umeda, Kita-ku , Osaka 530-0001, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuomi","family":"Iwakura","sequence":"additional","affiliation":[{"name":"Cardiovascular Center, Sakurabashi Watanabe Hospital, \u00a0 2-4-32 Umeda, Kita-ku , Osaka 530-0001, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,6,10]]},"reference":[{"key":"2022063018183934700_ytac233-B1","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1161\/CIRCINTERVENTIONS.112.969808","article-title":"Subintimal dissection\/reentry strategies in coronary chronic total occlusion interventions","volume":"5","author":"Michael","year":"2012","journal-title":"Circ Cardiovasc Interv"},{"key":"2022063018183934700_ytac233-B2","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jcin.2019.07.041","article-title":"Tip detection method using the new IVUS facilitates the 3-dimensional wiring technique for CTO intervention","volume":"13","author":"Okamura","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"key":"2022063018183934700_ytac233-B3","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/j.jcin.2021.01.048","article-title":"Initial outcomes of AnteOwl IVUS-based 3D wiring using the tip detection method for CTO intervention","volume":"14","author":"Suzuki","year":"2021","journal-title":"JACC Cardiovasc Interv"},{"key":"2022063018183934700_ytac233-B4","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/j.jacc.2021.05.055","article-title":"Global chronic total occlusion crossing algorithm: JACC state-of-the-art review","volume":"78","author":"Wu","year":"2021","journal-title":"J Am Coll Cardiol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac233\/44007922\/ytac233.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/6\/ytac233\/44163038\/ytac233.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/6\/ytac233\/44163038\/ytac233.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T18:19:40Z","timestamp":1656613180000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac233\/6605190"}},"subtitle":[],"editor":[{"given":"Ying Xuan","family":"Gue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Alexander","family":"den Hartog","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Francesco","family":"Moroni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Gal","family":"Tsaban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Damien","family":"Farhad Nur Salekin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,6,1]]},"references-count":4,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac233","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,6,1]]},"published":{"date-parts":[[2022,6,1]]},"article-number":"ytac233"}}