Case 280: Manual of CTO PCI - Compatibility

3 Views

  • Thanks! Share it with your friends!

    You disliked this video. Thanks for the feedback!

admin
Published
A patient was referred for PCI of a heavily calcified right coronary artery CTO. Antegrade wiring failed. Retrograde crossing through various septal collaterals with a Suoh 03 and Sion black wire also failed. A Gladius Mongo knuckled wire entered into an acute marginal branch. A large “rolling knuckle” was subsequently formed allowing extraplaque advancement around the acute marginal branch. The Mongo was exchanged for a Fielder XT-A wire that advanced to the distal RCA. Re-entry was attempted with a Stingray balloon and eventually succeeded using a Hornet 14 wire. A Sasuke microcatheter was used to wire the right posterolateral, followed by IVUS and stenting of the RCA with two DES through a 6 French Trapliner. A large vessel perforation occurred in the mid RCA. A 3.5 mm Ringer balloon could not be advanced to the perforation site. Eventually a PK Papyrus stent was delivered to the distal RCA achieving hemostasis with a nice final result after postdilatation.
Category
Cardiology
Be the first to comment

Up Next