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Case summary

  • Patient: female 63 y
  • Probable Angina CCS II, unspecific symptoms
  • Pathologic stressecho, normal LVEF
  • CVRF: hypertension, dyslipidemia, family history
  • 1 vessel disease:  CTO of RCA
  • J-CTO-score : 2 
  • Retry
  • Long lesion
  • Progress score:  0 (collaterals?)
  • Anatomy : tiny and tortuous vessels, proximal cap, distal bifurcation, interventional collaterals, retry
  • Back up strategy : septal collaterals

Description of procedure

  • 6F radial - 6F femoral
  • Antegrade approach (gaia 2nd) to cross the true lumen
  • tip injection and retrograde injection
  • 2.5 and 1.5 balloons for predilatation
  • 2.75 / 40 stent
Shooting date : 2016-06-27
Last update : 2017-07-18
Daniel Weilenmann
St. Gallen, Switzerland
Alexandre Avran
Valenciennes, France

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