Slides
[April 30] CTO LIVE_Asan Medical Center, Seoul, Korea: Case #4
- Operator : Hsien-Li Kao
1st Operator: Paul Hsien-Li Kao / 2nd Operator: Gyung-Min Park
Brief Case Summary
A 70 year-old male was admitted for effort chest pain started from 6 months ago. He underwent balloon angioplasty at distal LAD stenosis 19 years ago. Following coronary angiogram showed total occlusion at proximal RCA, diagonal branch and severe stenosis at distal LCX, distal LAD.
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: Y
- dLAD POBA (2000-05-12)
Demographic Characteristics
- Diabetes: Y
- Hypertension: N
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 74
- Sex: Female
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
None
Treadmill test
None
Thallium SPECT
None
Cardiac Catheterization Findings
- The left coronary angiogram showed total occlusion at diagonal branch, stenosis at distal LCX, LAD and collateral flow from OM to PL.
- 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, CCB, BB
- Previous MI: N
- Previous CABG : N
- Previous PCI: Y
- dLAD POBA (2000-05-12)
- Diabetes: Y
- Hypertension: N
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 74
- Sex: Female
Echocardiography
NoneTreadmill test
NoneThallium SPECT
None- The left coronary angiogram showed total occlusion at diagonal branch, stenosis at distal LCX, LAD and collateral flow from OM to PL.
- 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, CCB, BB
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