Staged PCI of LAD CTO via antegrade or retrograde approach

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Staged PCI of LAD CTO via antegrade or retrograde approach

By Mount Sinai Heart Complex Live Cases FEATURING Samin Sharma, Annapoorna Kini

476 views

May 25, 2016

78 year-old male with long standing history of stable angina presented with CCS Class III ...
read more ↘ angina. A stress MPI test revealed moderate inferior and apical ischemia. A Cardiac Cath on October 20, 2015 revealed 2V CAD; CTO of proximal LAD and 80% proximal LCx with mild systolic LV dysfunction and SYNTAX Score of 26.5. Totally occluded LAD segment is >30mm in length and fills retrogradely via grade III collaterals from RCA. Patient underwent successful intervention of proximal LCx using Promus Premier DES. Patient is now planned for staged PCI of LAD CTO via antegrade or retrograde approach.
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