Slides
[April 30] CTO LIVE_Asan Medical Center, Seoul, Korea: Case #2
- Operator : Gerald Werner
1st Operator: Gerald Werner / 2nd Operator: Jong-Yong Lee
Brief Case Summary
A 58 year-old male was admitted for effort chest pain lasting a few months. Following coronary angiogram showed total occlusion at proximal RCA. Staged PCI was planned for the RCA.
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
Demographic Characteristics
- Diabetes: Y
- Hypertension: N
- Hyperlipidemia: N
- Smoking: Y
- Family History: N
- Age: 58
- Sex: Male
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
None
Treadmill test
None
Thallium SPECT
None
Cardiac Catheterization Findings
- The left coronary angiogram showed stenotic lesion at distal LCX and collateral flow from LCX to PL and LAD to PDA.
- The right coronary angiogram showed total occlusion at proximal RCA.
Case Notes
Target Lesion(s)
CTO lesion at Proximal RCA
Planned device(s)
Intravascular ultrasound
Adjunctive Medication
- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other(s): Statin
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- Diabetes: Y
- Hypertension: N
- Hyperlipidemia: N
- Smoking: Y
- Family History: N
- Age: 58
- Sex: Male
Echocardiography
NoneTreadmill test
NoneThallium SPECT
None- The left coronary angiogram showed stenotic lesion at distal LCX and collateral flow from LCX to PL and LAD to PDA.
- The right coronary angiogram showed total occlusion at proximal RCA.
Target Lesion(s)
CTO lesion at Proximal RCAPlanned device(s)
Intravascular ultrasound- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other(s): Statin
Leave a comment