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In the frame of our collaboration with CTO Summit Brazil, we will be streaming in live from Kantonsspital St Gallen (Switzerland) 2 CTO Cases performed by Dr Yamane and Dr Weilenmann.

Live Case n°1: Calcified CTO in tortuous RCA
  • Patient: Male 63 years old
  • Angina CCS II and dyspnea NYHA II
  • Treadmill test with angina but normal ECG
  • Peripheral arterial disease Fontaine IIb
  • CVRF: former smoker (80py), hypertension, dyslipidemia, IDDM
  • Echo: LVEF 69%, inferobasal hypokinesia, no valvular disease
  • Renal function: eGFR =>90 ml/min/1.73m2
  • CAG 25.8.17: severe LAD stenosis, CX without relevant stenosis; short, but calcified CTO of tortuous RCA
  • 25.8.17 PCI of LAD with DES
  • CAG 25.8.17: severe LAD stenosis, CX without relevant stenosis; short, but calcified CTO of tortuous RCA
  • C-CTO score 2
Live Case n°2: CTO of dominant CX
  • Patient: Male 63 years old
  • History of silent inferior myocardial infarction
  • No angina, dyspnea NYHA II
  • Treadmill test: no angina but limiting dyspnea, ST segment normal
  • CVRF: former smoker, arterial hypertension, dyslipidemia
  • Echo: reduced LVEF (50%), inferior hypokinesia, no valvular disease
  • Admitted for CAG on 14.8.17: RIVA and RCA without relevant stenosis, Chronic occlusion of the dominant mid CX
  • CTO of dominant CX
  • J-CTO score: 2

In collaboration with CTO Summit Brazil

Shooting date : 2017-09-15
Last update : 2017-09-18
Masahisa Yamane
Sayama City, Japan
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Daniel Weilenmann
St. Gallen, Switzerland
Private message

CTO

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  • Zambonialbe A.

    Zambonialbe A. A very good job!

    2017-09-30, 16h19
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    • Daniel W.

      Daniel W. Dear Dr. Zambonialbe. Thank you very much. This was a great event. The Brazilian interventionalists also loved it!

      2017-10-02, 22h49
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      • Valery V.

        Valery V. Great cases. Thank you very much!

        2017-10-10, 12h34
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