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Patient history

  • 55 years old
  • Myocardial infarction

Description of lesions

  • RCA occlusion
  • JCTO score 3
     Blunt stump
     Bending
     Lesion of 25mm

Description of procedure

  • Retrograde approach (Corsair, Sion)
  • Surfing Septal technique
  • Septal and epicardial connections
  • Tip injection
  • Antegrade approach (with Gaia)
  • Dissection re-entry (Fielder XT, Stingray system)

Access

  • Right radial -  7F  EBU 4.0
  • Right femoral - AL 1

Devices used

Guidewire / microcatheter
  • Corsair
  • Sion
  • Fielder XTR
  • Confianza Pro 12
  • Gaia 2
  • Fielder XT
  • Stingray balloon
  • Miracle 12
  • Extension Asahi
  • Stingray wire
  • Pilot 200
Balloon
  • Balloon Pantera 2.0 / 30
Stent
  • Orsiro 2.75 / 40
  • Orsiro 3.0 / 35
  • Orsiro 3.5 / 18
  • Orsiro 2.75 / 9

Learning Point

How to manage the hybrid strategy : retrograde - antegrade - ADR
 
Shooting date : 2015-09-14
Last update : 2017-02-13
Max Amor
Essey-lès-Nancy, France
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...

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