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Case summary
- Patient: male 59 y
- Angina CCS II since several weeks
- Stress test abnormal, normal LVEF 60% in may 2016
- CVRF: smoking, dyslipidemia, hypertension
- 2 vessel diseases:
- CTO of mid RCA
- Severe stenosis LAD/D1 with PCI and DES in may 2016 (bifurcation)
- J-CTO-score: 1 (blunt stump)
- Progress score: 0
- Anatomy: proximal cap, distal bifurcation
- Distal vessel with disease
- 1st strategy : antegrade and wire escalation. 2nd option : epicardial collateral and reverse cart. 3rd option : Septal
Description of procedure
- Antegrade approach
- Trapping balloon
- Crossign the occlusion by the distal part
- Distal stenting
Shooting date : 2016-06-27
Last update : 2017-07-18
Last update : 2017-07-18
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