Slides
[April 30] CTO LIVE_Severance Hospital, Seoul, Korea: Case #6
- Operator : Kenya Nasu
1st Operator: Kenya Nasu / 2nd Operator: Joong Hee Lee
Brief Case Summary
44/M
Exertional chest pain for 1 month
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: 44
- Sex: MALE
- Other: Psoriasis
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
Akinesia without thinning, base to mid infero-septum, EF=53%
Coronary angiography (2019.2.13)
LCX PCI(2019.2.13)
s/p Biomime 3.0* 29 at LCX
Failed LAD PCI(2019.2.13)
XBG 7-3.5 SH
Corsair 135cm+ 014"G/W: Runthrough -> Gaia 1st -> Gaia 2nd -> Gaia 3rd
Conquest Pro 12 -> Pilot : Failed lesion passage
Cardiac CT (2019.01.21)
J-CTO score: 4 (Very Difficult)
Probability of GW crossing ¡Â 30 min: 10-22%
CT-RECTOR score: 5 (Very Difficult)
Probability of GW crossing ¡Â 30 min: 0%
Exertional chest pain for 1 month
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- Diabetes: N
- Hypertension: N
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 44
- Sex: MALE
- Other: Psoriasis
Echocardiography
Akinesia without thinning, base to mid infero-septum, EF=53%s/p Biomime 3.0* 29 at LCX
XBG 7-3.5 SH
Corsair 135cm+ 014"G/W: Runthrough -> Gaia 1st -> Gaia 2nd -> Gaia 3rd
Conquest Pro 12 -> Pilot : Failed lesion passage
Corsair 135cm+ 014"G/W: Runthrough -> Gaia 1st -> Gaia 2nd -> Gaia 3rd
Conquest Pro 12 -> Pilot : Failed lesion passage
J-CTO score: 4 (Very Difficult)
Probability of GW crossing ¡Â 30 min: 10-22%
Probability of GW crossing ¡Â 30 min: 10-22%
CT-RECTOR score: 5 (Very Difficult)
Probability of GW crossing ¡Â 30 min: 0%
Probability of GW crossing ¡Â 30 min: 0%
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