Case 281: Manual of CTO PCI - ReCross Laser

0 Views

  • Thanks! Share it with your friends!

    You disliked this video. Thanks for the feedback!

admin
Published
A patient with severe emphysema presented with unstable angina and was found to have 3-vessel coronary artery disease with a CTO of the LAD. He was turned down to CABG due to lung disease and was referred for PCI of the LAD CTO. He had a mid LAD CTO with blunt proximal cap, length of about 10 mm with heavy calcification and good quality distal vessel that was filling via an epicardial collateral from the right PDA. Antegrade wiring attempts with a Fielder XT-A, Gaia Next 2, and Gladius Mongo wire failed. A retrograde attempt through the epicardial collateral also failed. Parallel wiring was attempted through a ReCross dual lumen microcatheter with successful distal true lumen crossing using a Gaia Next 2 wire. The lesion was balloon uncrossable despite using small balloons (1.0 mm Sapphire and 1.5 mm Takeru) and a guide extension. A 0.9 mm laser was used and did not cross but allowed subsequent crossing with a 1.0 mm Sapphire balloon. After rotational atherectomy and stenting a nice final result was achieved.
Category
Cardiology
Be the first to comment

Up Next