Complex Coronary LIVE Case

Complex Coronary LIVE Case

RECANALIZATION OF A COMPLEX RCA CTO USING ANTEGRADE/RETROGRADE APPROACH

Video begins at 1:32:00

Case and Plan:

50-year-old female with multiple CAD risk factors presented with new onset CCS Class II angina for two months and stress echo revealed moderate inferior ischemia. A Cardiac Cath on October 7, 2019, performed at an outside hospital, revealed 1 V CAD: CTO of prox RCA, which fills via collaterals from left system with non obstructive left system, SYNTAX Score of 9 and LVEF 60%. The RCA CTO is long and calcified with J-CTO Score of 4. Patient is now planned for PCI of RCA CTO using rotational atherectomy and stents via antegrade approach and if failed, then retrograde approach


Published

October 7, 2019

Created by

Physician's Channel - Mount Sinai New York