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Clinical Data
- Male, 52 years old
- Cardiovacular Risk factors: hypertension, former smoker (cessation 2014; 40 pack-year history), dyslipidemia
- Past medical history: stroke, lower limb arteriopathy, coronary artery disease (inferior myocardial infarction 2014; coronary angiography revealed complete occlusion of right coronary artery with 3 vessel disease. PCI LAD and LCX but failed attempt RCA CTO PCI)
- Clinical presentation: Recurrent chest pain
- Stress echocardiography inferior myocardial ischemia
- New catheterization distal RCA CTO and no significant LAD or LCX lesion
- Medications: Atorvastatine, Aspirin, Clopidogrel, Bisoprolol, Perindopril
Shooting date : 2017-10-16
Last update : 2017-12-15
Last update : 2017-12-15
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CTO PCI in LAD: strategies when the microcatheter cannot cross the lesion after antegrade wiring
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Mohamed M. very nice case
Uwe G. reduce X-ray - aperture
Anwar E. Thanks for the nice case, It is always a good luck to have good collaterals that can be approached in CTO, what will be other options if we dont have such good collaterals in this case?
Fareda F. Good
Shafiq K. This was a very complex case ! The operators performed this case beautifully. Their approach was very methodical and systemic. Their technique was superb. WIre escalation was outstanding. The final results were excellent. Great learning case. Congratulations.
Khalid Shafiq, MD, FACC, FSCAI
Paris, Texas
USA.
Venkatesa R. very nicely done