PCI of mid RCA CTO via Antegrade Recanalization
CTO48 year old morbidly obese male with diabetes and ESRD on HD (pre-renal transplant), presented with CCS Class I angina and high risk stress MPI for moderate to severe lateral and inferior ischemia and EF of 50%. A Cardiac Cath on April 27, 2018 revealed 2V CAD: calcified long CTO of mid RCA, (J-CTO Score 4), 80% LCx-OM1, mild diffuse LAD/D1/D2 with LVEF of 55% and SYNTAX Score of 12. Patient underwent successful intervention of LCx-OM1 using Promus Premier DES. Now patient is planned for staged PCI of complex mid RCA CTO via antegrade recanalization and if fails, then retrograde recanalization technique.
Case Presentation
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Recanalization of prox RCA CTO In-stent Restenosis
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