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Description of lesion

  • LAD occlusion
  • 2nd attempt
  • JCTO score 1

Description of procedure

  • Double injection
  • Radial approach for RCA and contralateral injection
  • Femoral approach with EBU 4.0 guiding catheter 
  • Attempt to cross with the PROGRESS 80T gw engaged in the diagonal
  • Placement of a 2nd guidewire PROGRESS 200T
  • Control of the distal position
  • Exchange for a solft and safe guidewire
  • Pre-dilatation and acurate placement of stent at the proximal level

Learning points

  • Double wire technique for dealing with distal bifurcation
  • Wire escalation
 
Shooting date : 2014-02-05
Last update : 2021-06-09
Alexandre Avran
Valenciennes, France
Max Amor
Essey-lès-Nancy, 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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  • giulio P. Did you use Dual lumen microcathter for parallell wire Technique"?

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