Slides Coronary CTO
[April 30] CTO LIVE_Severance Hospital, Seoul, Korea: Case #8
- Operator : Toshiya Muramatsu
1st Toshiya Muramatsu / 2nd Operator: Chul-Min Ahn
Brief Case Summary
41/M
Chest pain, dyspnea for 3 months
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
Demographic Characteristics
- Diabetes: N
- Hypertension: N
- Hyperlipidemia: Y
- Smoking: N
- Family History: N
- Age: 41
- Sex: MALE
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
2018 No RWMA, EF74%. E/E'8
Coronary angiography (2018.5.16)
PTCA at RCA (2018.5.16)
Orsiro 4.0x22 at pRCA
Coronary angiography (2018.5.16)
Failed PTCA at mLAD (2018.5.16)
Corsair + 014" G/W (Runthrough -> XT-R -> Gaia 2nd -> XT-R -> Gaia 2nd -> lesion pass fail)
Cardiac CT (2018.5.15)
J-CTO score: 3 (Very Difficult)
Probability of GW crossing ¡Â 30 min: 10-22%
CT-RECTOR score: 4 (Very Difficult)
Probability of GW crossing ¡Â 30 min: ~25%
Chest pain, dyspnea for 3 months
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- Diabetes: N
- Hypertension: N
- Hyperlipidemia: Y
- Smoking: N
- Family History: N
- Age: 41
- Sex: MALE
Echocardiography
2018 No RWMA, EF74%. E/E'8Orsiro 4.0x22 at pRCA
Corsair + 014" G/W (Runthrough -> XT-R -> Gaia 2nd -> XT-R -> Gaia 2nd -> lesion pass fail)
J-CTO score: 3 (Very Difficult)
Probability of GW crossing ¡Â 30 min: 10-22%
Probability of GW crossing ¡Â 30 min: 10-22%
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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