Coronary CTO May 2018

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

PCI of mid RCA CTO via Antegrade Recanalization


48 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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