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Description of lesion
- Double RCA instent restenosis:
- 1st lesion proximal RCA
- 2nd lesion mid RCA
- Length > 20mm
- Bending
- JCTO score 2
Description of procedure
- Antegrade approach (retrograde access impossible)
- Failure of Progress 80. Exchange for Progress 200T
- Use of Finecross microcatheter and then Cross Boss
- Exchange guidewire for Fielder XT using back the Finecross
- Trapping technique to remove the Finecross
- Predilatation with a 2x30mm anchoring balloon (to increase the support)
- 3x38mm DES (distally)
- Use of BHW guidewire and crossboss microcathter (for the 2nd lesion) Predilatation and stenting (3.5x32mm DES - proximally)
- 24 hours later - observation and comment:
- No stenting in the distality of the artery
Learning points
- Crossing an instent lesion
- Antegrade wiring
- Anchoring technique
- Trapping technique
- Use of crossboss microcatheter
Shooting date : 2014-04-29
Last update : 2017-02-17
Last update : 2017-02-17
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