Slides
[April 30] CTO LIVE_Severance Hospital, Seoul, Korea: Case #5
- Operator : Byeong-Keuk Kim
1st Operator: Byeong-Keuk Kim / 2nd Operator: Byeong-Keuk Kim
Brief Case Summary
58/F
Exertional chest pain, DOE for 3 months
Referred from other hospital for failure of CTO recanalization of LAD
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
Demographic Characteristics
- Diabetes: N
- Hypertension: N
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 58
- Sex: Female
- Other: none
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
Mild hypokinesia at LAD territory, EF=54%
Treadmill test
7.0 METs. Positive
Coronary angiography (2019.03.19)
JL 7-4 + Fielder XT-A : lesion passage failure
Cardiac CT (2019.02.23)
J-CTO score: 2 (Difficult)
Probability of GW crossing ¡Â 30 min: 35-42%
CT-RECTOR score: 2 (Difficult)
Probability of GW crossing ¡Â 30 min: ~57%
Exertional chest pain, DOE for 3 months
Referred from other hospital for failure of CTO recanalization of LAD
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- Diabetes: N
- Hypertension: N
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 58
- Sex: Female
- Other: none
Echocardiography
Mild hypokinesia at LAD territory, EF=54%Treadmill test
7.0 METs. PositiveJL 7-4 + Fielder XT-A : lesion passage failure
J-CTO score: 2 (Difficult)
Probability of GW crossing ¡Â 30 min: 35-42%
Probability of GW crossing ¡Â 30 min: 35-42%
CT-RECTOR score: 2 (Difficult)
Probability of GW crossing ¡Â 30 min: ~57%
Probability of GW crossing ¡Â 30 min: ~57%
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