TCTAP C-097 Successful PCI to RCA CTO with Extended Reverse CART Technique

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[Successful recanalisation of RCA CTO using retrograde approach].

A 51-year-old female two years after CABG presented with unstable angina and inferior wall ischaemia. Coronary angiography revealed occluded graft to RCA and chronic total occlusion of RCA with good collateral flow from distal LAD to RCA. The CTO was successfully crossed and dilated through epicardial collaterals from distal LAD (retrograde approach). Finally, antegrade angioplasty with two ste...

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Mortality benefits with CTO PCI: moving the goalpost closer.

Chronic total occlusions (CTO), defined as a complete arterial occlusion [TIMI (thrombolysis in myocardial infarction) 0 or 1 flow] of at least 3 months duration, occurs in 10–20% of coronary angiographic studies, and 5% of coronary computed tomography angiography (CTA) studies. However, CTO revascularization, whether by percutaneous coronary intervention (PCI) or bypass, remains at relatively ...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2018

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2018.03.296