Case 284: Manual of CTO PCI - Double Stingray + Provisional

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A patient was referred for PCI of a circumflex CTO. The CTO had a blunt proximal cap after the takeoff of OM1, short length, calcification, and a bifurcation at the distal cap (OM2 – distal circumflex). It was filling distally via epicardial collaterals. Antegrade wiring failed. A knuckled Mongo wire we advanced into the OM2, followed by successful re-entry using the double blind stick and swap technique with a Stingray balloon. Using the side-BASE technique the Mongo was advanced to the distal circumflex, followed by successful re-entry with the Stingray balloon. Provisional stenting into the OM2 was successful in restoring antegrade flow in both the OM2 and distal circumflex.

This case is different from case 231 (double Stingray re-entry - https://youtu.be/ghiLctEyzdY) where DK crush was used for bifurcation stenting.
Category
Cardiology
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