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Description of lesion
- RCA occlusion
- Retry
- Length > 20mm
- JCTO score 2
Description of procedure
- Antegrade approach
- JET 25' guidewire and CORSAIR microcatheter
- Exchange for a Progress 200T guidewire
- Retrograde approach with a SION guidewire
- Surfing Septal technique
- Exchange for a Pilot 200 gw
- Inflatation of a 2.5 balloon and then 3.0 to create a dissection
- Advance a guidezilla
- Exchange the CORSAIR for a Finecross microcatheter
- Use of a specific gw for exteriorization : RG3 guidewire
- 3.0x30 Balloon and inflatation
- Stenting with a 3.5x15mm XPEDITION
Learning points
- Retrograde approach
- Reverse Cart technique
- Surfing septal technique
- Retrograde dissection re-entry
Shooting date : 2014-03-05
Last update : 2021-06-09
Last update : 2021-06-09
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