Coronary June 2015

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

Staged PCI of CTO RCA via Retrograde Approach


57 year-old male presented with new onset CCS Class IV angina. A Cardiac Cath on April 6, 2015 revealed 2V CAD (CTO of RCA and subtotal occlusion of Circumflex-LPL branch) with normal LV function and SYNTAX Score of 24. Patient underwent successful intervention of LCx-LPL (Xience DES) and failed attempt at antegrade recanalization of CTO RCA. Subsequently, patient continued to have Class II angina and a stress MPI last week revealed moderate ischemia in the RCA territory. Now planned for staged PCI of CTO RCA via retrograde approach due to failed ategrade approach.


Case Presentation


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