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Live Retrograde Recanalization of mid LAD CTO

59-year-old male presented with CCS Class IV angina and coronary CTA revealing total mid LAD occlusion. A Cardiac Cath on February 25, 2022 revealed 1 V CAD: total occlusion of mid LAD with distal vessel filling antegradely and retrogradely with EF = 65% and SYNTAX Score of 12. Patient underwent unsuccessful intervention of mid LAD CTO via antegrade approach. Now planned for stage PCI of mid LAD CTO via RCA collaterals using retrograde approach.




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