RCA CTO during total revascularization скачать в хорошем качестве

RCA CTO during total revascularization

the Hybrid Algorithm RCA CTO during total revascularization Radial and femoral access 7Fr AL 0.75, EBU 3.5 Due to big gap and poor distal zone we tried quickly retro procedure through septals. Sion Black went fine but Caravel couldn't follow and Corsair Pro found the way. Exchanged to Fielder xt that went subintimally to the prox Cap. Antegrade Catheter changed to Right Judkins due to ostial lesion and mostly due to no coaxial engagement. Use of retro wire as a marker and antegrade advancement of Gaia 3rd, Confianza pro 12 and finally successfully Pilot 200 in true lumen of a distal branch BUT despite anchoring prooved uncrossable antegradely for MC and small profile balloon as well (Sapphire 1.0). Switching again to retro option and try Rev CART in many levels with Confianza and Hornet 14. Advancement of Telescope Guide extension and Rendez-vous Technique with success. Externalization of RG3 wire and after balooning and stenting fine result! Many thanks to Cathlab stuff and especially to Dr Katsanou for the help in such demanding case! Red Cross Hospital Cathlab Athens Greece #cto #keepvesselsopen #redcrosshospital