×

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login


Chapters (2)
Description
Shooting date : 2017-01-26

Case summary

Age: 59 year old
Gender: male
Type II DM treated with oral drugs
Hypertension; Dyslipidemia
Morbidity obese (...

Case summary

Age: 59 year old
Gender: male
Type II DM treated with oral drugs
Hypertension; Dyslipidemia
Morbidity obese (BMI 35)
Previous smoking habit
2009: CABG with LITA on LAD, SVG on D1, SVG on MO1, SVG on PDA
Stable angina (CCS III)
Nuclear perfusion imaging: severe ischemia on inferior and anterior wall
Occluded LITA; occluded all SVG
LAD: proximal occlusion
MO1: ostial occlusion
RCA: mid occlusion
SYNTAX score: 25 (RCA CTO 10pts)
JCTO score 2: calcium and >20 mm

Strategy

ACCESSES:
Radial XB 3.5 6Fr 90 cm
Femoral AL1 7Fr 100 cm; long sheath

APPROACHES:
Antegrade approach with guidewire escalation (starting with GAIA 3rd); Turnpike Gold microcatheter
Antegrade dissection reentry
Retrograde approach

Protocol

OptiRAY® (ioversol)
Concentration : 350 mgI/mL
Volume : 420mL

 

Linked playlists (2)
Be the first to comment

Comment with Facebook

May 2017
Honolulu : Tuesday, May 16th 2017 from 10:30pm to 11:30pm (GMT-10)
San Francisco : Wednesday, May 17th 2017 from 01:30am to 02:30am (GMT-7)
New York : Wednesday, May 17th 2017 from 04:30am to 05:30am (GMT-4)
Buenos Aires : Wednesday, May 17th 2017 from 05:30am to 06:30am (GMT-3)
Reykjavik : Wednesday, May 17th 2017 from 08:30am to 09:30am (GMT)
London / Dublin : Wednesday, May 17th 2017 from 09:30am to 10:30am (GMT+1)
Paris / Berlin : Wednesday, May 17th 2017 from 10:30am to 11:30am (GMT+2)
Istanbul : Wednesday, May 17th 2017 from 11:30am to 12:30pm (GMT+3)
Moscou / Dubaï : Wednesday, May 17th 2017 from 12:30pm to 01:30pm (GMT+4)
Bangkok : Wednesday, May 17th 2017 from 03:30pm to 04:30pm (GMT+7)
Shanghai : Wednesday, May 17th 2017 from 04:30pm to 05:30pm (GMT+8)
Tokyo : Wednesday, May 17th 2017 from 05:30pm to 06:30pm (GMT+9)
Sydney : Wednesday, May 17th 2017 from 07:30pm to 08:30pm (GMT+11)
Wellington : Wednesday, May 17th 2017 from 09:30pm to 10:30pm (GMT+13)

Discussion around complex PCI

How to deal with complications?

Share

Interview: Colm Hanratty, MD

Essential basic maneuvers for CTO PCI

Share

CTO SUMMIT 2019: Live Case 2

Dr Gagnor Andrea & Dr Scrocca Innocenzo

Share
Scroll Up