Slides
[April 30] CTO LIVE_Severance Hospital, Seoul, Korea: Case #7
- Operator : Kambis Mashayekhi
1st Kambis Mashayekhi / 2nd Operator: Sung-Jin Hong
Brief Case Summary
61/M
Chest pain for 1 month
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- 1999-03-22 CAD 1 VD, proximal LAD (NIR primo 4.0*16)
Demographic Characteristics
- Diabetes: N
- Hypertension: N
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 61
- Sex: MALE
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
No RWMA, EF = 62%
Treadmill test
11.7 METs, Positive
Thallium SPECT
Moderate sized, severe degree, partial reversibility in the apex and apico-mid-anterior wall
Coronary angiography (2019.4.10)
s/p proximal LAD (NIR primo 4.0*16) [1999-03-22]
Cardiac CT (2019.04.10)
![](/image/technical/image_case/190418/case07_figure2.png)
J-CTO score: 2 (Difficult)
Probability of GW crossing ¡Â 30 min: 35-42%
![](/image/technical/image_case/190418/case07_figure3.png)
CT-RECTOR score: 4 (Very Difficult)
Probability of GW crossing ¡Â 30 min: ~25%
Chest pain for 1 month
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- 1999-03-22 CAD 1 VD, proximal LAD (NIR primo 4.0*16)
- Diabetes: N
- Hypertension: N
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 61
- Sex: MALE
Echocardiography
No RWMA, EF = 62%Treadmill test
11.7 METs, PositiveThallium SPECT
Moderate sized, severe degree, partial reversibility in the apex and apico-mid-anterior walls/p proximal LAD (NIR primo 4.0*16) [1999-03-22]
![](/image/technical/image_case/190418/case07_figure1.png)
![](/image/technical/image_case/190418/case07_figure2.png)
J-CTO score: 2 (Difficult)
Probability of GW crossing ¡Â 30 min: 35-42%
Probability of GW crossing ¡Â 30 min: 35-42%
![](/image/technical/image_case/190418/case07_figure3.png)
CT-RECTOR score: 4 (Very Difficult)
Probability of GW crossing ¡Â 30 min: ~25%
Probability of GW crossing ¡Â 30 min: ~25%
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