Coronary 2021/01

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

Complex prox RCA CTO Recanalization via Retrograde Approach


56-year-old male presented with Class III unstable angina and positive stress MPI for significant inferior ischemia. A Cardiac Cath on November 20, 2020 at outside hospital revealed 2 V VAD: 85% mid LAD, 70% D1 and CTO proximal RCA with distal vessel fills retrogradely via septal collaterals (J-CTO Score 3), LVEF = 50% and Syntax Score of 26. Patient underwent successful PCI of mid LAD and diagonal using two Xience Sierra DES. Patient is now planned for complex CTO RCA recanalization using retrograde approach via septal collaterals.


Case Presentation


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