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Patient history
- 56 years old male
- Risk factors : dyslipidemia
- Medical history : anginal pain and dyspnea on exertion
- Preliminary tests : normal exercise-stress test (sub-maximal)
- Myocardial scintigraphy : 15% infero-lateral ischemia
- Coronary angiogram : stenosis of the mid Cx artery and CTO of the RCA. Angioplasty of the Cx artery
- Treatment : aspegic, clopidogrel, rosuvastatin
- Echocardiography : LVEF 53%
- ECG : normal
- Biology : serum creatinine = 8.3 mg/dl
- Premedication : sedation (midazolam), heparin 5000 UI
Planned procedure
- Right femoral access for coronary angioplasty and right radial access for contralateral injection
- Placement of an AL 2 catheter(Cordis) in the RCA
- Antegrade wiring approach with intermediate stiff guidewire. Escalation of guidewires
- Retrograde approach in case of failure
Procedure datas
- Exposure : 1,1 Gy
- Contrast : 180 ml
- Duration : 45 min
Shooting date : 2014-02-05
Last update : 2021-06-09
Last update : 2021-06-09
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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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