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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 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
 
 
 
 
 
 
 

 

 

 

Linked playlists (1)

Master the Complex

Interventional Cardiologists today are faced with an ever increasing set of complex patients to manage. Treating patients with more complex lesions and elderly patients where DAPT duration is impor...

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July 2016
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Coronary angioplasty : Master the Complex

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