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Clinical data
72y
Angor class III
2003 CABG : AMIG-LAD / AMIDt-Mg / GVS-RCA
FDR : Ex smoker/ HTA / DNID
Angio 03/2016 ; LAD Occlusion , CX occlusion, RCA occlusion
occlusion CABG AMIDt-Mg and GVS-RCA , LAD sténosis 90% after bypass
LAD PCI with DES
Echo :FE 50% posteriori hypokinésia
Scintigraphia : inferior réversible ischemia 25% LV
Diagnostic image
Description of lesion
JCTO score 2
Lesion = 25 mm
Calcified
Intra stent
Collateral Left to right
Access
Left radial - 5 F - AMI
Right radial - 6 F - 3 DR
Description of the procedure
Antegrade approach with wire escalation
trapping balloon
Devices used
Guidewire & microcatheter
Caravel
Sion blue
Fielder XT
Gaia 2
Heartrail
Balloon
Balloon Sapphire pro 2.5 / 20
Balloon Sapphire pro 2.0 / 20
Hyrio NC 3.0 / 20
Stent
Biomatrix 3.0 / 36
Biomatrix 3.5 / 24
Biomatrix 2.5 / 33
Last update : 2020-07-15
PILLAI K.
Excellent demonstration of antegrade wire e strategy especially selection of wires.
Can you briefly mention about techniacal aspects of progress and gaiai family of wires .
And brief discussion on Heartrail visavis other catheters like guideliner guidezilla especially technical aspects