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Description
Shooting date : 2016-07-08
Last update : 2017-02-02
Language(s) : English

Case summary

•74 year old male patient
•PMHx: PCI RAC (1999)
•NSTEMI 05/2016 in District hospital
–PCI LAD  + failed P...

Case summary

•74 year old male patient
•PMHx: PCI RAC (1999)
•NSTEMI 05/2016 in District hospital
–PCI LAD  + failed PCI OM1 (culprit)
•Referred for PCI OM1 + evaluation CTO RAC
•EF: 60%
•PCI OM1  + failed attempt revascularisation CTO RAC (06/2016)
•Today 2nd attempt at CTO RAC
–J-CTO score > 3

Strategy

•Femoral 8 Fr + radial 6 Fr access
•Antegrade dissection rentry (ADR) technique
•CrossBoss /Stingray
•Retrograde option limited
•DES in mid-LAD
•No interventional collaterals
•Possible need for IVUS
 
 
 
 
 
 
 

 

 

 

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