Coronary CTO July 2018

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

PCI of RCA CTO using Antegrade or Retrograde Approach


62 year old NIDDM male presented with CCS Class II angina and positive SPECT MPI for infero-lateral and apical ischemia. A Cardiac Cath on June 4, 2018 revealed 3 V CAD; CTO of mid RCA distal vessel fills via bridge collaterals, 95% proximal LAD, 90% proximal LCx with LVEF 60% and SYNTAX Score 28. After Heart Team discussion, patient opted for multi-vessel staged PCI. Patient underwent successful intervention of proximal LAD using DES (Xience Sierra 3.25 x 23) and proximal LCx using DES (Xience Sierra 3.25 x 18). Patient is now planned for staged PCI of RCA CTO using antegrade or retrograde approach.


Case Presentation


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