coronary cot

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

PCI of RCA CTO via Antegrade Approach

59 year old male presented with new onset CCS Class III angina and a positive stress MPI for multivessel ischemia. A Cardiac Cath on July 25, 2017 revealed extensive III Vessel CAD: multiple CTO’s of RCA filling via LAD/LCx collaterals, 80% LAD-Diagonal bifurcation, 95% LCx-LP1 with SYNTAX Score of 33. Heart Team discussion recommended CABG, but declined by patient and family. Patient underwent successful interventions of mid LAD (Xience DES), LAD-D1 (Flextome atherotomy PTCA) and LCx-LPL1 (Xience DES). Patient is now planned for staged PCI of RCA CTO via antegrade approach utilizing contralateral injection for guidance.


Coronary CTO


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