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Cardiology / Coronary / Cto / Case in the box
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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

 

Shooting date : 2016-06-30
Last update : 2017-03-17
Benjamin Faurie
Grenoble, France
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Thierry Lefèvre
Massy, France
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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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  • Saif A.

    Saif A. excellent demonstration and wonderful explanation

    2018-03-20, 20h33
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    • Benjamin F.

      Benjamin F. Thank you!

      2018-03-21, 10h00
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