CASE PRESENTATION

Chronic Total Occlusion with Side Branch Balloon Occlusion Technique for Passing the Guide Wire

  - Operator: Nakul Sinha, MD


A 57 year-old woman with unstable angina showed total occlusion of middle LAD without distal stump at bifurcation site into a large septal branch (Image 1, 2).

What will you do for this patient ?
Minimally invasive direct coronary artery bypass (MIDCAB)
Temporary occlusion of septal branch for wire guidance into LAD
Double puncture with simultaneous contralateral visualization of collateral flow with wire passage using over-the wire system