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Chapters (1)
Description
Shooting date : 2016-06-30
Last update : 2017-01-20
Language(s) : English

Clinical data

72y
Angor class III
2003 CABG : AMIG-LAD  / AMIDt-Mg / GVS-RCA
FDR : Ex smoker/ HTA / DNID

Angio  03/2016 ; LAD Occlusion , CX occlusion, RCA occlusion
occlusion CABG AMIDt-Mg and GVS-RCA , LAD sténosis 90% after bypass
LAD PCI with DES

Echo :FE 50% posteriori hypokinésia
Scintigraphia : inferior réversible ischemia 25% LV

Diagnostic image

 

 

Description of lesion

JCTO score 2     
     Lesion = 25 mm
     Calcified
   
Intra stent
Collateral Left to right

Access

Left radial - 5 F - AMI
Right radial  - 6 F - 3 DR

Description of the procedure

Antegrade approach with wire escalation
trapping balloon

Devices used

    Guidewire & microcatheter
Caravel 
Sion blue
Fielder XT
Gaia 2
Heartrail

    Balloon
Balloon Sapphire pro 2.5 / 20
Balloon Sapphire pro 2.0 / 20
Hyrio NC 3.0 / 20

    Stent
Biomatrix 3.0 / 36
Biomatrix 3.5 / 24
Biomatrix 2.5 / 33

 

Linked playlists (1)

ML CTO 2016

The recanalization of coronary chronic total occlusion (CTO) has become an important and promising proce­ dure to treat overt or silent myocardial ischemia and improve patient outcomes. It is a...

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Comments(1)
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  • PILLAI K.

    Excellent demonstration of  antegrade wire e strategy especially selection of wires.

    Can you briefly mention about  techniacal aspects of progress and gaiai family of wires .

    And brief discussion on Heartrail  visavis other catheters  like guideliner guidezilla especially technical aspects 

     

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    July 2016
    Honolulu : Wednesday, June 29th 2016 from 09pm to 07:30am (GMT-10)
    San Francisco : Thursday, June 30th 2016 from 12am to 10:30am (GMT-7)
    New York : Thursday, June 30th 2016 from 03am to 01:30pm (GMT-4)
    Buenos Aires : Thursday, June 30th 2016 from 04am to 02:30pm (GMT-3)
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    Shanghai : Thursday, June 30th 2016 from 03pm to 01:30am (GMT+8)
    Tokyo : Thursday, June 30th 2016 from 04pm to 02:30am (GMT+9)
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    ML-CTO 2016

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