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Case summary

  • 1999 BMS in mid RCA
  • 2007 Cypher stent in proximal RCA (small)
  • 2010 Angio with CTO of stent in mid RCA
  • Aggravation of symptoms in last months
  • CVRF: Diabetes NID, hypetension, dyslipidemia
  • CTO of mid to distal RCA
  • Non significant stenosis in LAD (normal FFR)
  • J-CTO-score : 2
  • Blunt stump
  • Long lesion
  • Progress score : 0
  • Anatomy:  proximal cap, stent as marker, distal portion of CTO diseased

Description of procedure

  • Retrograde approach in 1st intention
  • Surfing spetal
  • Tip injection but no connection
  • Connection successful with Sion black
  • Antegrade approach
  • Reverse cart (guideliner for rdv)
  • Predilatation and stenting
Shooting date : 2016-06-27
Last update : 2017-08-03
Daniel Weilenmann
St. Gallen, Switzerland
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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  • sarikamis C.

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