Video : LCx CTO with ambiguous proximal cap

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Cardiology / Coronary / Cto / Case in the box

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Operators: Roberto Garbo, MD - Andrea Gagnor, MD
IVUS commentator: Stéphane Carlier, MD

Clinical Data

50 yo male
Risk factors: hypertension, dyslipidemia, diabetic insulin therapy.
History: troponin positive ACS 12.2016 – PCI to OM1
Now complains of stable angina CCS2
EF 64%, no RWMA
Angiogram:
- Severe disease to PDA (1DES 2,5x8), patent stent to LCX/OM, Blocked LCx, atheroma to LAD
Still symtomatic despite OMT
Stress perfusion + LCx territory

Imaging protocol OptiRAY® 350

Total volume injected: 200 mL
Total radiation exposure : 1 Gy
Exposure time: 45 minutes
7.5 images / sec

Shooting date : 2017-06-30
Last update : 2018-06-26

Cre8™ / Alvimedica

Polymer-free Amphilimus™ eluting coronary stent

IVUS / Philips

OptiRAY® / Guerbet

Optiray® contrast agent is lower osmolar, lower viscosity and nonionic.

Ebu 3.5-4 / Medtronic

Luncher guide catheter

Accuforce® / Terumo

Non compliant PTCA balloon catheter

Finecross® MG / Terumo

Coronary Microcatheter

ACROSS HP TM / Acrostak

High performance PTCA balloon

Pantera Pro / Biotronik

Semi-compliant workhorse Balloon

ASAHI Gaia Third / Asahi

Asahi Sion Blue / Asahi

PTCA Guide Wire

ASAI Gaia Second / Asahi

Guideliner / Vascular Solutions

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