×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
31849 views

This 40 minutes didactic recorded procedure concerns a symptomatic coronary artery disease patient with a very old long complex mid-RCA occlusion (J-CTO score 4) first attempted retrogradely and then antegradely, using modern strategy and latter tools for coronary artery recanalization.

Step-by-Step Procedure:

  • Description of RCA occlusion and collaterals
  • Main steps of retrograde approach through a diseased LAD. Septal surfing
  • Guidewire escalation for retrograde re-entry
  • Antegrade connection and reverse CART technique
  • Placement of Guiding extension and Rendez-vous technique
  • Externalization of guidewire
  • Predilatation with long balloon
  • Occlusion and distal RCA & mid LAD Stenting
  • Main steps summary of this complex procedure 
     

Learning points:

  • Management of double arterial access: radial & femoral
  • Antegrade approach
  • Retrograde approach
  • Septal Artery surfing
  • Guidewire escalation
  • Trapping balloon technique
  • Reverse CART technique
  • Rendez-vous technique
  • Guidewire externalization 
     

Bibliography:

Shooting date : 2015-09-14
Last update : 2021-05-11
Julien Lemoine
Essey-Lès-Nancy, France
Alexandre Avran
Valenciennes, France

Incathlab CTO course

Your CTO Tutors will suggest you a table of video contents following an educational program from beginner to advanced level, completed by a didactic part with relevant lectures. For a tailored tr...

Share

Our Cases of the Month

The case of the month is a new way for our users to watch, learn, and share with incathlab. They can watch a video that highlights an innovative case and uses excellent pedagogical techniques, lear...

Share
2 comments
Join the Discussion
  • Mohamed M. Tough case

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Georgi G. Leave a new comment to the discussion

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
        Your browser doesn't have Flash, Silverlight or HTML5 support.


      Scroll Up